Podcasts about pediatrics aap

One of the biggest stressors for parents is helping their child get to sleep and stay asleep. Bedtime can be a real battle for parents at times and today's guest is here to help alleviate that by looking for root causes and also how you parents can help relieve your sleep issues as well. When the whole family sleeps well, things go better.   In this episode, she'll talk about sleep apnea - yes, even for kids - which includes snoring, and mouthbreathing, and how sleep is not a "passive process" like we might think, involving hormones, the immune system and even memories that are processed while we sleep.  Our sleep is affected by nutrition such as iron deficiencies and our sleep hygiene like how dark, cool and noise-free the room is for sleeping.  And one that parents are certainly guilty of - screentime before bed. Dr. Brown says we need to stop that at least 60 minutes before bed and that includes TV and tablets too.  Dr. Funke Afolabi-Brown is a board-certified pediatrician with extensive experience working with children who suffer from a range of sleep issues, including insomnia, sleep apnea, and behavioral sleep disorders. Her holistic and compassionate approach to care sets her apart as a trusted expert in her field. Dr. Afolabi-Brown earned her medical degree from the University of Ibadan, Nigeria, one of Africa's premier institutions for medical education. She completed her pediatrics residency at the Children's Hospital of Philadelphia (CHOP), which is renowned globally for its cutting-edge pediatric care and training programs. Subsequently, she pursued a fellowship in sleep medicine at the University of Pennsylvania, where she gained specialized expertise in diagnosing and treating sleep disorders in children. I know you're going to get a ton of great value out of this episode so please enjoy the show. Beyond her clinical work, Dr. Afolabi-Brown is an advocate for sleep health education. She actively raises awareness about the importance of sleep through various platforms, including community outreach, public speaking engagements, and digital media. Her mission is to empower parents and caregivers with the knowledge and tools they need to create healthy sleep habits for their children. Dr. Afolabi-Brown is also active in several medical associations, including the American Academy of Sleep Medicine (AASM), the American Academy of Pediatrics (AAP), and the Society of Behavioral Sleep Medicine. Her contributions to these organizations include advancing research, developing best practices, and sharing insights on sleep interventions. She has also collaborated on scholarly publications and presented at national and international conferences, demonstrating her commitment to the growth and development of her field. Find Dr. Brown here: Her book: https://beyondtiredbook.com/  Website  https://www.therestfulsleepplace.com/ Instagram: https://www.instagram.com/restfulsleepmd/ Facebook: https://www.facebook.com/restfulsleepmd/ LinkedIn: https://www.linkedin.com/in/drfunkebrown/ YouTube: https://www.youtube.com/channel/UCPateezmNmJ_Vrtizii5q-A   Please listen and subscribe to our podcast and leave a 5-star review or thumbs up so we can reach more parents like you! Subscribe to our podcast by sending an email to subscribe@teachingyourtoddler.com For more expert interviews, fun activities and story time podcasts, please visit our website at https://www.teachingyourtoddler.com/ All our shows are posted as videos as well on our YouTube channel here: https://www.youtube.com/@MarijoTinlin Find us on social media here: Facebook at https://www.facebook.com/TeachingYourToddler X/twitter at https://x.com/TeachingToddler Instagram at https://www.instagram.com/teachingyourtoddler/ To support great future content, please click here and help us out with a $5 gift: glow.fm/teachingyourtoddler Leave us a 5-star Review and comment your ideas for future shows! #parenting #toddlers #moms #momlife #kids #podcast #toddlerlife #education

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Children's health is at the forefront of healthcare transformation, driven by efforts to personalize experiences, ensure consistent coverage, and combat misinformation. In this episode of the Beat Executive Speaker Series, Leana Wen interviews Mark Del Monte, CEO of the American Academy of Pediatrics (AAP), about the organization's priorities and policies. Del Monte explains that AAP, with 67,000 members, prioritizes policies based on evidence and feedback from both its board and members, focusing on diverse issues like mental health, equity, and environmental health. He emphasizes the importance of Medicaid and CHIP (Children's Health Insurance Program) as vital coverage for children, noting concerns over 5.5 million children losing coverage post-pandemic due to procedural issues. Del Monte advocates for merging Medicaid and CHIP into a national program to eliminate variability between states, providing consistent healthcare for children. Tune in to discover how the AAP is championing child healthcare and fighting misinformation for a healthier future! Resources: Connect with and follow Mark Del Monte on LinkedIn. Follow AAP on LinkedIn and visit their website. Visit healthychildren.org to get valuable info for your family. Fast Track Your Business Growth: Outcomes Rocket is a full-service marketing agency focused on helping healthcare organizations like yours maximize your impact and accelerate growth. Learn more at outcomesrocket.com

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-423 Overview: The use of electronic devices has increased across all ages, cultures, and socio-economic levels. Usage was also affected by the COVID-19 pandemic. There is a growing body of evidence that screen time can impact cognition and executive function in developing minds, and both the American Academy of Pediatrics (AAP) and the WHO have recommendations on screen time exposure for children. Join us as we discuss recent evidence looking at the impact of screentime on toddlers' cognition and executive function over time.  Episode resource links: Fitzpatrick, C., Florit, E., Lemieux, A., Garon-Carrier, G, Mason, L. Associations between preschooler screentime trajectories and executive function. Academic Pediatrics, Volume 0, Issue 0, 102603. Schmidt-Persson J, Rasmussen MGB, Sørensen SO, et al. Screen Media Use and Mental Health of Children and Adolescents: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419881. doi:10.1001/jamanetworkopen.2024.19881 AAP Screen Time Guidelines Schmidt-Persson J, Rasmussen MGB, Sørensen SO, et al. Screen Media Use and Mental Health of Children and Adolescents: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419881. doi:10.1001/jamanetworkopen.2024.19881 Raj D, Ahmad N, Mohd Zulkefli NA, Lim PY. Stop and Play Digital Health Education Intervention for Reducing Excessive Screen Time Among Preschoolers From Low Socioeconomic Families: Cluster Randomized Controlled Trial. J Med Internet Res. 2023;25:e40955. Published 2023 May 4. doi:10.2196/40955 Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com   

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-423 Overview: The use of electronic devices has increased across all ages, cultures, and socio-economic levels. Usage was also affected by the COVID-19 pandemic. There is a growing body of evidence that screen time can impact cognition and executive function in developing minds, and both the American Academy of Pediatrics (AAP) and the WHO have recommendations on screen time exposure for children. Join us as we discuss recent evidence looking at the impact of screentime on toddlers' cognition and executive function over time.  Episode resource links: Fitzpatrick, C., Florit, E., Lemieux, A., Garon-Carrier, G, Mason, L. Associations between preschooler screentime trajectories and executive function. Academic Pediatrics, Volume 0, Issue 0, 102603. Schmidt-Persson J, Rasmussen MGB, Sørensen SO, et al. Screen Media Use and Mental Health of Children and Adolescents: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419881. doi:10.1001/jamanetworkopen.2024.19881   AAP Screen Time Guidelines Schmidt-Persson J, Rasmussen MGB, Sørensen SO, et al. Screen Media Use and Mental Health of Children and Adolescents: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2419881. doi:10.1001/jamanetworkopen.2024.19881 Raj D, Ahmad N, Mohd Zulkefli NA, Lim PY. Stop and Play Digital Health Education Intervention for Reducing Excessive Screen Time Among Preschoolers From Low Socioeconomic Families: Cluster Randomized Controlled Trial. J Med Internet Res. 2023;25:e40955. Published 2023 May 4. doi:10.2196/40955     Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com   

Navigating Pediatrics: Evolution, Challenges, and Advocacy with Dr. BryanIn this episode, sponsored by Hippo Health, the hosts welcome Dr. Bryan to discuss his extensive experience in pediatric care since 1996. Starting from how he became a pediatrician, the conversation covers the evolution of his practice in Manassas, Virginia, including the shifts in patient demographics, the impact of healthcare policies, and the challenges posed by corporate medicine. Dr. Bryan shares insights into treating a diverse patient population, the administrative hurdles faced due to Medicaid's complex systems, and the critical issue of pediatric obesity and mental health within his community. The discussion also explores the role and efficacy of the American Academy of Pediatrics (AAP), highlighting the need for structural changes to better support pediatricians and improve child healthcare. The episode concludes with reflections on the importance of local and national advocacy in addressing systemic healthcare issues.00:00 Introduction and Sponsor Message00:46 Welcoming Dr. Brian: A Journey Through Pediatrics01:42 Challenges in Pediatric Practice03:52 The Evolution of Pediatric Care in Manassas04:47 The Impact of Corporate Medicine04:55 The Role of Hospitalists and Urgent Care13:00 The Struggles of Medicaid and Community Medicine27:34 The Changing Demographics and Challenges in Pediatric Care37:36 Genetic and Dietary Factors in Type 2 Diabetes38:03 Public Health Emergency Among Children38:45 Challenges in Addressing Health Issues39:03 Educational Deficiencies and Health40:02 Case Study: A 19-Year-Old Patient41:24 School Phobia and Family Dynamics43:08 Community and Familial Approaches to Health43:33 The Role of Physicians Beyond Prescriptions45:14 Systemic Issues in Healthcare Access47:56 Medicaid and Practice Management Challenges55:10 Unfunded Mandates and Their Impact01:03:06 Critique of the American Academy of Pediatrics01:04:34 Hope for Change in Pediatric Healthcare01:10:04 Concluding Remarks and Future OutlookSupport the show

Ever wonder how the current chaotic world and the state of healthcare are affecting our children, the most vulnerable members of society and those of us who care for them? Listen to this episode as Lia shares her angst and hope with the complexities of a world facing climate disasters, political strife, physician burnout, and a dwindling trust in science. This solo episode is a self-reflection about building the courage, commitment, and resilience required to safeguard children's health in these turbulent times. As Lia recounts her own experiences during the pandemic and advocates for unwavering integrity in pediatric care, she challenges listeners to reflect on their role to protect the wellbeing of ALL children.. This episode is a call to action—will you answer it? [00:05- 04:27] Insights on Pediatric Practice The rigorous process of policy creation and revision within the American Academy of Pediatrics (AAP).Importance of adhering to evidence-based practices and adapting policies based on scientific discoveries.The challenges pediatricians face, including making life-and-death decisions.Commitment to upholding the Hippocratic Oath despite mounting difficulties. [04:28 -11:54] Challenges in Pediatric HealthcareLong hours, difficult on-call shifts, and emotionally taxing decisions faced by pediatricians.Inequities in healthcare access, especially for marginalized children.Disinformation surrounding vaccines and its impact on parental decisions.Concerns over administrators dictating healthcare delivery without medical expertise. [11:55 - 17:58] Challenges in Pediatric HealthcareThe exhaustion and disheartenment experienced by pediatricians.Unfair contracts, financial pressures, and charting demands that intrude on family time.Pediatricians' dedication despite overwhelming demands, driven by a sense of calling.The public's misconceptions about pediatricians' financial motivations regarding vaccines.[17:59 - 22:30] Call to Action and AdvocacyA rallying message for pediatricians to support one another and remain resilient.Reinforcement of the commitment to doing what is best for children.The importance of unity and collective efforts to address healthcare challenges.Encouragement to engage with future episodes featuring interesting guests.Resources Mentioned in the EpisodeWebsite: PediatricMeltdown.comAAP (American Academy of Pediatrics): Highlighted as a trusted source for pediatric guidelines.Dr. Anthony Fauci: Mentioned as a prominent figure in guiding healthcare during the COVID-19 pandemic.https://pediatricmeltdown.com/episodes120 ADHD: Part 4 Executive Function119 ADHD Part 3: Executive Function109 ADHD Symptoms: Executive Functions Part IIADHD: Strategies for Boosting Executive FunctionTweetable Quotes:"To my pediatric colleagues, we cannot be intimidated. We cannot be afraid. We have to lean into each other and have each other's backs."... Dr. Lia Gaggino on the power of solidarity"Despite the insanity of misinformation, hyperbole, and conspiracy theories, he prevailed even when he and his family were threatened and continue to be threatened."...Dr. Lia Gaggino on what Dr. Fauci had to...

Raising Good Citizens Through Conscious ParentingWhat does it take to raise thoughtful citizens and build stronger communities while navigating the challenges of parenting, aging, and personal growth? In this episode, Dr. Robert Saul], an author and pediatrician, shares his insights from his career dedicated to advocating for children, families, and communities. Dr. Saul discusses his journey of writing books that cater to parents, children, and physicians, including one described as "Goodnight Moon with a message," using vivid illustrations and meaningful text to engage families. Through relatable examples like managing tantrums, school avoidance, and making tough decisions as both parents and children of aging parents, Dr. Saul emphasizes the importance of fostering responsibility and kindness. Drawing wisdom from the "5 M's" of mentoring, mediating, mobilizing, monitoring, and motivating, Dr. Saul inspires listeners to embrace their roles as sages and positive influences. Will this be the conversation that reshapes the way you see parenting and citizenship? [00:05- 11:27] Foundations of Conscious Parenting Key realization: “I am the problem, I am the solution, I am the resource.”The role of community engagement in addressing societal issues like teenage pregnancy and disengagement.Introduction to the “Five Steps to Community Improvement.”Impact of Columbine (1999) and its role in inspiring advocacy and writing. [11:28 -20:54] Overcoming Adverse Childhood Experiences (ACEs)The significance of nurturing, safe, and stable relationships (SSNRs).Introduction to SSNRs as a buffer against toxic stress.Role of parents in creating environments that foster resilience in children.Emphasis on pediatricians' responsibility to guide and support parents. [20:55 - 35:58] The Parental Awareness Threshold (PAT)Concept of being "above the line" (curious and open) vs. "below the line" (closed and defensive).Strategies for managing stress and frustration as a parent: pause, assess, choose.Frameworks for addressing challenges like tantrums and teenage rebellion.Balancing empathy with practical parenting techniques.[35:59 - 46:30] Advocacy and Community EngagementRole of pediatricians in supporting families facing poverty, domestic violence, or instability.The importance of advocacy for systemic changes to improve family support.Encouraging involvement in organizations like the American Academy of Pediatrics (AAP).The significance of professional networks for mutual support and advocacy.Connect with Dr. Saul: robertsaul@me.comhttps://mychildrenschildren.com/ to learn more.Resources mentioned in the show:BooksMy Children's ChildrenThinking DevelopmentallyConscious ParentingBowling AloneConscious Leadership

About Mark Del Monte:Mark Del Monte, serves as the CEO and Executive Vice President of the American Academy of Pediatrics (AAP). With an extensive background in law and advocacy, Mark has been instrumental in advancing pediatric health and well-being since joining the AAP in 2005. Under his leadership, the AAP supports 67,000 pediatricians and pediatric specialists, ensuring they have the necessary resources and guidance to provide top-notch care for children. His work is driven by a deep commitment to addressing various issues impacting children's health, such as mental health, equity, environmental health, and public policy. Mark is also a vocal advocate for policies supporting comprehensive healthcare coverage for children, particularly through programs like Medicaid and CHIP (Children's Health Insurance Program).Beyond his policy advocacy, Mark is dedicated to combating misinformation, especially around vaccine trust. He focuses on providing pediatricians with accurate information and reliable resources to build trust between healthcare providers and families. Mark believes in the power of the clinician-patient relationship in promoting healthy behaviors and informed decision-making. His combination of legal expertise and passion for child health advocacy makes him a leading voice in shaping the future of pediatric healthcare, striving to ensure that all children have the opportunity to thrive.Things You'll Learn:The American Academy of Pediatrics (AAP)'s comprehensive approach to addressing diverse issues affecting children's health, including mental health, equity, and environmental health.The critical roles that Medicaid and CHIP play in providing essential healthcare coverage for children.The AAP's strategies to counteract vaccine mistrust and other misinformation, empowering pediatricians with accurate information.Insights into the advocacy for merging Medicaid and CHIP into a national program to ensure consistent healthcare for all children.The importance of the clinician-patient relationship in promoting healthy behaviors and delivering reliable information.Resources:Connect with and follow Mark Del Monte on LinkedIn.Follow AAP on LinkedIn and visit their websiteVisit healthychildren.org to get valuable info for your family.

Hoy abordaremos una actualización esencial en el ámbito de las emergencias: la Actualización 2024 de las Guías de Resucitación tras Ahogamiento de la American Heart Association (AHA) y la American Academy of Pediatrics (AAP). Este tema es fundamental, ya que el ahogamiento sigue siendo una de las principales causas de muerte no intencional en el mundo. El ahogamiento se define como el proceso de experimentar insuficiencia respiratoria por inmersión en agua y, si no se actúa de inmediato, este evento progresa de una parada respiratoria a una parada cardíaca. La resucitación en estos casos requiere intervenciones específicas que consideren la hipoxia severa como causa principal del paro. Hoy discutiremos las recomendaciones clave y los puntos a tener en cuenta al responder a emergencias de ahogamiento, ya sea que seas un rescatista laico o un profesional de la salud. LA CADENA DE SUPERVIVENCIA EN AHOGAMIENTOS Presentador: Comencemos con el concepto de la Cadena de Supervivencia en Ahogamientos. Esta cadena es un enfoque sistemático que establece cinco pasos críticos para aumentar la supervivencia de la persona ahogada. Paso 1 - Prevención del Ahogamiento: La prevención es siempre el primer paso. Las guías indican que más del 90% de los ahogamientos son prevenibles. Entre las medidas de prevención se encuentran: instalar barreras para evitar el acceso a áreas de agua, usar chalecos salvavidas en actividades acuáticas y garantizar la supervisión de niños en áreas cercanas al agua. Paso 2 - Reconocer el Peligro y Activar la Ayuda: Reconocer que alguien está en peligro es crucial para activar la ayuda rápidamente. Es importante recordar que una persona ahogada no siempre puede pedir auxilio, ya que el instinto por respirar es tan fuerte que impide que levante los brazos o grite. Paso 3 - Proporcionar Flotación: Antes de intentar un rescate, las guías recomiendan ofrecer un dispositivo de flotación si está disponible. Esto ayuda a evitar que el rescatador se convierta en una segunda víctima y permite estabilizar a la persona en el agua. Paso 4 - Sacar del Agua de Forma Segura: Si es seguro, el siguiente paso es sacar a la persona del agua. Esto facilita la evaluación y el manejo posterior. Las guías sugieren que si la persona está inconsciente, se realice la extracción en una posición lo más horizontal posible para evitar comprometer aún más la vía aérea. Paso 5 - Iniciar Soporte Vital Básico y Avanzado: Finalmente, se debe iniciar el soporte vital básico (SVB) lo antes posible. Si la parada es confirmada y llega el equipo de emergencia, deben iniciar el soporte vital avanzado (SVA) para mejorar las probabilidades de supervivencia. IMPORTANCIA DE LA VENTILACIÓN Y EL MANEJO DE LA VÍA AÉREA La siguiente recomendación clave en esta actualización se centra en el manejo de la vía aérea y la ventilación. A diferencia de otras paradas cardíacas, el ahogamiento requiere una prioridad en la ventilación debido a la hipoxia severa causada por el agua en los pulmones. Recomendación para Respiración de Rescate en el Agua: Si el rescatador está entrenado y es seguro hacerlo, las guías recomiendan iniciar la respiración de rescate en el agua. Esta intervención temprana ayuda a prevenir que el ahogamiento avance a un paro cardíaco completo. Sin embargo, se debe valorar constantemente la seguridad del rescatador, ya que no se debe comprometer la seguridad personal. Recomendación sobre Administración de Oxígeno: Otra recomendación importante es administrar oxígeno lo antes posible cuando esté disponible, ya que la hipoxia severa es la causa principal de la parada. No obstante, se enfatiza que la administración de oxígeno no debe retrasar el inicio de una RCP de alta calidad si la persona ya está en paro. USO DEL DESFIBRILADOR EXTERNO AUTOMÁTICO (DEA) Y RCP EN AHOGAMIENTO Un aspecto único de la resucitación tras ahogamiento es el orden de prioridad entre RCP y DEA. Debido a que los ritmos desfibrilables son poco comunes en el ahogamiento, las guías enfatizan que es más efectivo iniciar la RCP con ventilación antes de aplicar el DEA. Recomendación sobre el Orden de RCP y DEA: En caso de ahogamiento con paro, la prioridad debe ser la RCP con ventilación antes de aplicar el DEA. Aunque la desfibrilación es útil si se detecta un ritmo desfibrilable, la mayoría de los paros por ahogamiento no tienen este tipo de ritmo, por lo que no debe retrasarse la RCP buscando un DEA. Uso de DEA en Ritmos Desfibrilables: Si se cuenta con un DEA y es seguro usarlo, puede aplicarse en caso de un ritmo desfibrilable. Sin embargo, siempre priorizando la RCP y evitando que la búsqueda de un DEA retrase las compresiones y ventilaciones necesarias para el paciente ahogado. BRECHAS Y NECESIDADES DE INVESTIGACIÓN FUTURA Un aspecto importante que resaltan las guías es la necesidad de continuar investigando la resucitación y prevención del ahogamiento en diferentes contextos y regiones. Se identificaron algunas brechas de conocimiento, como la falta de recursos en áreas remotas o de bajos ingresos y la implementación de programas de desfibrilación pública en áreas acuáticas. Recomendación de Educación y Entrenamiento Comunitario: Las guías sugieren fortalecer la educación comunitaria sobre técnicas de rescate y resucitación, especialmente en áreas con alta incidencia de ahogamientos. También se recomienda promover la formación en soporte vital básico y avanzado en todas las comunidades para mejorar los tiempos de respuesta y la calidad de la resucitación. CONCLUSIÓN Para resumir, hemos cubierto las recomendaciones esenciales de la actualización 2024 de la AHA y la AAP sobre resucitación tras ahogamiento. Como hemos visto, los elementos clave incluyen: Priorizar la ventilación y la vía aérea en el manejo de los ahogamientos, dado que la hipoxia es la causa principal del paro. Iniciar RCP con ventilación sin retraso y solo usar el DEA si está disponible y se detecta un ritmo desfibrilable. Fortalecer la educación y prevención en las comunidades para reducir la incidencia de ahogamientos y mejorar la respuesta en estos eventos. En ECCtrainings, ofrecemos cursos de soporte vital básico y avanzado que cubren estas y otras técnicas críticas para responder a emergencias. Si estás interesado en aprender más, visita nuestra página en ECCtrainings. Gracias por acompañarnos en ECCpodcast, ¡nos vemos en el próximo episodio! Referencias 2024 American Heart Association and American Academy of Pediatrics Focused Update on Special Circumstances: Resuscitation Following Drowning: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Cameron Dezfulian, MD, FAHA, FAAPCo-Chair, Tracy E. McCallin, MD, FAAPCo-Chair, Joost Bierens, MD, PhD, MCPM, Cody L. Dunne, MD, Ahamed H. Idris, MD, FAHA, Andrew Kiragu, MD, FAAP, Melissa Mahgoub, PhD, Rohit P. Shenoi, MD, FAAP, David Szpilman, MD, Mark Terry, MPA, NRP, Janice A. Tijssen, MD, MSc, FAHA, Joshua M. Tobin, MD, MSc, Alexis A. Topjian, MD, MSCE, FAHA

One of the most important relationships independent publishers have is with their authors, so how can publishers ensure that it's a productive working relationship?  American Academy of Pediatrics Senior Editor Kathryn Sparks joins “Inside Independent Publishing (with IBPA)” to share advice about how publishers can successfully work with their authors based on her two decades in the industry.She'll share tips about setting reasonable deadlines and how to stick to them; the best ways to work with an author through the writing and editing process; and more. She'll also share insights into how the independent publishing industry is doing at the moment, and what improvements could be made.PARTICIPANTSKathryn Sparks is senior editor for the parent consumer line at the American Academy of Pediatrics (AAP). Prior to the AAP, she worked as the assistant to the publisher at Sourcebooks, Inc. Past industry experience also includes part-time literary assistant at the Chicago-based Tina Purcell Agency, and part-time assistant to best-selling author Claudia Gray. Her MG Novel, Reality Natalie, was published by Firedrake Books, Inc. She has served on the IBPA Editorial Advisory Committee, IBPA Advocacy Committee, and is currently on the IBPA Executive Committee and is co-chair of the IBPA Membership Committee.Independent Book Publishers Association is the largest trade association for independent publishers in the United States. As the IBPA Director of Membership & Member Services, Christopher Locke assists the 3,600 members as they travel along their publishing journeys. Major projects include managing the member benefits to curate the most advantageous services for independent publishers and author publishers; managing the Innovative Voices Program that supports publishers from marginalized communities; and hosting the IBPA podcast, “Inside Independent Publishing (with IBPA).” He's also passionate about indie publishing, because he's an author publisher himself, having published two novels so far in his YA trilogy, The Enlightenment Adventures.LINKSLearn more about the many benefits of becoming a member of Independent Book Publishers Association (IBPA) here: https://www.ibpa-online.org/page/membershipMake sure to check out the American Academy of Pediatrics' books at https://www.aap.org/en/shopaap/shop-by-product/parenting-resources/Also, check out https://www.healthychildren.org/English/Pages/default.aspxFollow IBPA on:Facebook – https://www.facebook.com/IBPAonlineX – https://twitter.com/ibpaInstagram - https://www.instagram.com/ibpalovesindies/

What are you doing to ensure your baby is sleeping safely? Wish you had a product that ensured safe sleep while also letting you get in some much-needed Zs.   In this segment, the founder of Marsu Baby, Trinetta Bryan shares how she came up with the idea for The Wrap Sheet out of a need to solve her own problems. This then took off and started helping other parents get quality sleep while incorporating safe and secure sleep for their little one.       WHO IS TRINETTA BRYAN? Trinetta Bryan, founder of Marsu Baby and a mom who, like many others, struggled with safe sleep solutions for my newborn. Her daughter, Jenesis, inspired her to create the Wrap Sheet after facing challenges with traditional swaddling methods. She wanted a solution that combined safety, comfort, and ease for both parents and babies. That's how the Wrap Sheet was born—designed to securely hold babies in place, prevent rolling, and follow the American Academy of Pediatrics (AAP) safe sleep guidelines. It's also lab-certified and rigorously tested by parents, so you can feel confident in your baby's safety and comfort.       TRINETTA'S CALL TO ACTION & CONTACT INFO Visit my website at www.marsubaby.com to learn more and make a purchase!   www.instagram.com/marsu.baby       GENESIS'S CALL TO ACTION Subscribe / Follow GEMS with Genesis Amaris Kemp podcast on audio platform & YouTube channel, Hit the notifications bell so you don't miss any content, and share with family/friends.   GENESIS'S INFO ⁠https://genesisamariskemp.net/genesisamariskemp⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/genesis-amaris-kemp/support

On today's episode, I dive into Safe Sleep Basics.In this solo episode, I cover the essential guidelines for safe sleep as recommended by the American Academy of Pediatrics (AAP). I discuss the key points every parent should know to ensure a safe sleep environment for their baby, as well as some of the most common unsafe sleep situations I see in the real world. This episode aims to equip parents with the knowledge to make informed decisions about their baby's sleep safety. Ready to curate your perfect postpartum plan? Head over to my etsy shop to download my Postpartum Plan Workbook! Don't forget to use the code 'PODCAST' for 15% off!Shop Here: https://www.etsy.com/shop/SereneMomentsLLCWant input and support from me? Join my membership! For just $30/mo you get access to messaging with me, a members only zoom call & a specialized newsletter with lots of tips & tricks made just for my members! Join by heading over to my website (www.SereneMomentsDoula.com) to sign up!As always if you have input, topic ideas or questions please reach out anytime!-Madison Fugere (Serene Moments LLC)IG & FB: @SereneMoments.Doula

The American Academy of Pediatrics (AAP) seems to be in an awkward spot. The group fears that children could be exposed to hormone-disrupting pesticides through food. However, it also endorses the use of puberty blockers and cross-sex hormones—drugs that disrupt normal hormone production—in gender-dysphoric youth. Are the AAP's divergent standards justified, or is this just a classic case of hypocrisy?

Dr. Mary Barbera explores the growing conversation around virtual autism—a term used to describe autism-like symptoms in young children, potentially linked to excessive screen time. Is virtual autism real, and can it be prevented? She'll share insights from my professional experience and personal journey with my son, Lucas, as well as real-life examples from my clients. She explain the potential effects of too much screen time on children's development and provide actionable strategies to prevent virtual autism. She will also review screen time guidelines from the American Academy of Pediatrics (AAP), offering tips on how to balance screen use with engaging activities that support healthy growth.

Send us a textIn this episode of The Incubator Podcast, hosts Ben Courchia and Daphna Barbeau interview Dr. Lily Lou, a neonatologist making history as the first from her specialty to run for president of the American Academy of Pediatrics (AAP). Dr. Lou discusses the significance of her candidacy, emphasizing the importance of subspecialist representation within the AAP. She shares insights from her unique perspective, drawing from experiences in both subspecialty and general pediatrics leadership roles. The conversation covers the responsibilities of the AAP president and the critical need for neonatologist participation in AAP elections and advocacy efforts. Dr. Lou highlights recent AAP initiatives relevant to neonatology, including the Access to Donor Milk Act and advocacy for paid family medical leave. She also outlines opportunities for neonatologists to engage in advocacy at local and national levels, encouraging listeners to get involved. The episode concludes with information about the upcoming AAP election, scheduled for September 11-25, 2024, urging listeners to participate and make their voices heard in this pivotal decision for the future of pediatrics and neonatology. Throughout the interview, Dr. Lou's passion for inclusive representation and advocacy in pediatric healthcare shines through, offering listeners a compelling glimpse into the potential future of AAP leadership. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

New guidance from the American Academy of Pediatrics (AAP) is telling schools that instead of sending students home when they test positive for head lice, they should just let them go back to class. Dr. Stephanie Hanson, Sanford Health, weighs in.... See omnystudio.com/listener for privacy information.

Send us a Text Message.Are you considering co-sleeping but concerned about the potential risks and stigma associated with it?In this episode, we get into the often controversial topic of co-sleeping with expert Ashley Cooley of Birth Baby Sleep. Together, we aim to provide comprehensive and evidence-based information to help parents make informed decisions, all while challenging the taboo surrounding this parenting choice.Conversations about co-sleeping are often swept under the rug due to its taboo nature, but many parents end up co-sleeping out of sheer exhaustion. Our goal is to disseminate valuable information, ensuring safer spaces for both parents and babies if they choose this route.We discuss recommendations from the American Academy of Pediatrics (AAP) and the Canadian Pediatric Society (CPS), both of which advocate for infants to sleep on their backs on a firm mattress in their own environment. Ashley and I emphasize that while these organizations strongly discourage bed-sharing, reality often diverges from these guidelines. Many parents, especially breastfeeding mothers, fall asleep with their babies, sometimes in unsafe conditions. We also talk about some practical tips to make it safer.Ashley Cooley's insights offer a balanced, non-judgmental perspective on the nuances of co-sleeping. The goal of this episode is not to promote or dissuade parents from co-sleeping but to provide them with the tools and knowledge to make informed choices and create the safest sleep environment possible.We hope this conversation removes some of the stigma and shame parents might feel about co-sleeping. Remember, parenting is a journey filled with diverse experiences, and informed decisions can make this journey a bit smoother.We talk about:00:00 Intro06:20 Ashley Cooley's Journey into Sleep Consulting10:37 Co-Sleeping Recommendations and Realities16:08 Creating a Safe Co-Sleeping Environment19:37 Practical Tips for Safe Co-Sleeping24:33 Preventing Gaps Between Mattress and Wall25:09 Risks of Co-Sleeping with Preterm Babies28:55 Addressing Shame and Embarrassment29:23 Clarifying Co-Sleeping Misconceptions33:48 Smoking and Co-Sleeping Risks36:47 Importance of Back Sleeping40:09 Final Thoughts and Advice for New ParentsConnect with AshleyInstagram: https://www.instagram.com/birth_baby_sleepFacebook: https://www.facebook.com/birthbabysleep  www.birthbabysleep.ca Bringing Up Baby Podcast: https://bringingupbaby.buzzsprout.com/ Perinatal Support Network: https://birth-baby-sleep.mn.co/share/Jo2rICwGd4Gm1i4X?utm_source=manual   Connect with meInstagram: https://www.instagram.com/wholebundle/https://thewholebundle.com/

WE GOT US NOW #KeepFamiliesConnected campaign series WELCOME to Season 4 of the ⁠WE GOT US NOW Podcast⁠ series POWERED by ⁠The Just Trust⁠ For our 6th annual #KeepFamiliesConnected multimedia campaign series that runs from Mother's Day through Father's Day, WE spotlight voices from our community, and uplift our allies working across the field to create a just and equitable society that seeks to keep justice-impacted families connected.   Dr. Nia Heard-Garris, MD, MBA | MSc | FAAP is a pediatrician and a physician-investigator at the Ann & Robert H. Lurie Children's Hospital of Chicago and in the Department of Pediatrics at Northwestern University Feinberg School of Medicine. She examines the influence of social adversities experienced in childhood and subsequent child and adolescent health. Dr. Heard-Garris is also interested in the factors that contribute to thriving and resilience despite these experiences. Dr. Heard-Garris completed a prestigious Robert Wood Johnson Foundation Clinical Scholars Fellowship at the University of Michigan. She earned her Master of Science in Health and Healthcare Research. She received her Doctor of Medicine (MD) from Howard University College of Medicine and helped to launch the student-run free clinic serving DC residents. Dr. Heard-Garris earned her Bachelor of Science in biology at Spelman College in Atlanta, Georgia. Dr. Heard-Garris is also an active member in the American Academy of Pediatrics (AAP). Dr. Heard-Garris has had numerous media appearances, including CNN/Sesame Street, NPR, NBC, and numerous others.  In this episode, she takes our listeners on a deep dive about the impacts of structural racism on the lives of children with incarcerated parents. She believes in using research to better inform clinical practice and policy that supports youth, their families, and their communities to become their healthiest selves and thrive. Don't Miss This Insightful Discussion! FOR MORE INFORMATION, GO TO: ⁠WEGOTUSNOW.org ⁠|⁠ Instagram⁠ | ⁠Twitter⁠ LISTEN to the WE GOT US NOW Podcast on SPOTIFY, APPLE Podcasts and all podcasts platforms. #WEGOTUSNOW  #10MillionInspired #ChildWellBeing #Community #Allies #ChildrenwithIncarceratedParents  #WeGotUsNowPodcast 

There is an escalating crisis of metabolic dysfunction in our youth, with growing rates of obesity, diabetes, and mental illness. Is it safe to use ketogenic therapy in children and teens for better management or reversal of these conditions? Dr. Matthew Calkins, an early career physician board certified in family and obesity medicine, argues it is. A 2023 paper published in the American Academy of Pediatrics (AAP) exaggerates risks associated with a ketogenic diet in pediatric patients. It also conflates a keto diet for epilepsy with a well-formulated keto diet that can be used to treat obesity, diabetes, and mental health conditions. Dr. Calkins co-authored a rebuttal paper in the Journal of Metabolic Health. In this interview, Dr. Calkins shares more about the paper, as well as some of his experiences running a metabolic clinic at Atrium One Health. He shares his clinical, science-based perspective that ketogenic diets are nutrient-rich (not deficient) and that there is no evidence they trigger eating disorders. He helps patients of all ages make lifestyle changes and improve their health. He loves seeing them achieve dramatic outcomes like reducing BMI or being able to get off insulin. Seeing the explosion of research on ketogenic therapy for a variety of health conditions, Dr. Calkins is optimistic about the future of healthcare. Experts in this video: X: @MattCalkinsMD https://www.wakehealth.edu/providers/c/matthew-william-calkins Related Resources: Carbohydrate reduction for metabolic disease is distinct from the ketogenic diet for epilepsy https://journalofmetabolichealth.org/index.php/jmh/article/view/95 Low-Carbohydrate Diets in Children and Adolescents With or at Risk for Diabetes https://publications.aap.org/pediatrics/article/152/4/e2023063755/193955/Low-Carbohydrate-Diets-in-Children-and-Adolescents?autologincheck=redirected Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry. Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/ About us: Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them. Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications. #MetabolicMind #KetoForMentalHealth #MetabolicPsychiatry #KetogenicMetabolicTherapy #NutritionalKetosis#MedicalKeto#KetogenicTherapy #KetoDiet#KetoForPediatrics#KetoForDiabetes#KetoForObesity#KetoForKids

Are you unwittingly overlooking a silent epidemic affecting newborns right under your nose? This game-changing episode of Pediatric Meltdown will redefine everything you thought you knew about molding young minds. We delve deep into the world of FASD (Fetal Alcohol Spectrum Disorders) and the critical need for timely screening at newborn visits. Hosted by Dr. Lia Gaggino, we dive into the transformative world of the oft-missed signs of fetal alcohol spectrum disorders and the life-altering implications they hold. Uncover the resources every parent and pediatrician should have at their fingertips, the surprising truth about the plasticity of the brain, and the lifeline that support groups offer to families navigating this challenging journey. It's clear that understanding and addressing ND PAE requires ongoing effort and awareness. The valuable insights shared in this episode are bolstered by the wealth of resources and guidance provided by organizations such as the American Academy of Pediatrics (AAP). Through Pediatric Meltdown, we aim to bring this critical information to the forefront, equipping practitioners and families with the know-how to usher in positive change. Tune in to hear how this episode promises to reveal a groundbreaking approach recommended by the AAP that could turn the tide in the ongoing battle against pediatric mental health challenges. Don't miss out – your next step in pediatric care innovation could be just one listen away! [05:30-12:44] Understanding FASD and Its ImpactDefinition and prevalence of FASD, including the sobering statistic that it affects 1 in 40 children.Prenatal alcohol exposure significantly affects the brain, especially the hippocampus and amygdala, causing developmental challenges.A look at the physical features associated with FAS, highlighting the preventability of this condition.Recognizing FASD early is crucial for intervention and leveraging the brain's adaptability for better outcomes with help.[12:45-22:14] Screening and Prevention Strategies The necessity of nonjudgmental surveillance questions at newborn visits to screen for ND PAE.discussing alcohol use with patients before and during pregnancy to avoid guilt and stigma affecting truthful disclosure.The roles of obstetricians and pediatricians in fostering ongoing dialogues about the risks of alcohol consumption.Prevention measures and education for adolescents and women of fertility age, aiming to mitigate the prevalence of FASD.[22:15-34:09] Resources for Clinicians and ParentsInformation on available resources from AAP, NOFAS, CDC, and NIMH for diagnosis and parental support.Recommendations for referring to developmental behavioral pediatricians or child psychiatry access programs.The utility of early intervention services for children with suspected ND PAE.Advocation for parent support groups as a means of providing guidance and comfort[34:10 - 50:48] Medications and InterventionsDiscussion on medications used for FASD, with particular emphasis on ADHD and mood-stabilizing medications.The debated effectiveness of non-stimulant medications like alpha agonists for children with ND PAE.Tips on prescribing medications appropriately, with support from programs like ECHO.Insights into the specific challenges faced by children with FASD, including attention to detail issues and difficulty with self-soothing.[50:49 - 59:11] Closing segment TakeawayLinks to resources mentioned on the showAAP Toolkit:

Episode 162: Early-Onset Sepsis      Dr. Kooner explains how to diagnose early-onset sepsis by using clinical evaluation and clinical tools. Dr. Schlaerths describes the signs and symptoms of sepsis in neonates, and Dr. Arreaza adds comments about GBS bacteriuria.  Written by Lovedip Kooner, MD, editing Hector Arreaza, MD, and comments by Katherine Schlaerth, MD. Rio Bravo Family Medicine Residency Program.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction:Neonatal sepsis is defined as pathogenic bacterial growth from blood or cerebral spinal fluid culture within the first 28 days of life. Neonatal sepsis can be divided into two categories: early-onset sepsis (EOS) and late-onset.  EOS is neonatal sepsis within 72 hours or 7 days after birth, depending on the specialist. How common is early-onset sepsis (EOS)?According to the CDC, the infant mortality rate rose for the first time in 20 years in the USA. In the U.S., the incidence of EOS is 0.5 in 1,000 live births and carries a mortality rate of about 3%. What causes EOS?Most infections are due to ascending lower vaginal tract flora. Other causes include intra-amniotic infections and maternal hematogenous spread of systemic infections. Group B streptococcus (S. agalactiae) accounts for about 1/3 of the infectious organisms, followed by E. coli which accounts for about 1/4, and Viridans streptococci account for about 1/5 of infections. Cases of E. coli are seen more often with prolonged rupture of membranes and intrapartum antibiotic exposure. Other notable infections are Listeria monocytogenes, coagulase-negative staphylococci (CoNS), herpes simplex virus, and enteroviruses. The role of GBS.Approximately 30% of women have vaginal and rectal GBS colonization and 50% will transmit it to the newborn. Without maternal antibiotic treatment, 1-2% of those infants will develop EOS. The American College of Obstetricians and Gynecologists (ACOG) recommends universal culture-based screening for GBS at 36-37 weeks and 6 days regardless of mode of delivery. GBS bacteriuria: Treat it (symptomatic and asymptomatic) if >105 CFU/mL. Do not treat it in asymptomatic patients if GBS 18 hours, intrapartum fever, or GBS positive in previous pregnancy.Nucleic acid amplification test: NAAT in pregnancy is not recommended to determine colonization status. However, if NAAT is obtained in the intrapartum period, give IAP if positive. But, you must also give IAP if negative + mentioned risk factors (18h, Maternal fever >100.4F)What is considered adequate intrapartum antibiotic prophylaxis? Penicillin and ampicillin are the recommended antibiotics for prophylaxis. Cefazolin can be given if there is a penicillin-allergy with a low risk for anaphylaxis. Clindamycin and vancomycin are reserved for cases of maternal penicillin allergy. Specifically, clindamycin can be used only if GBS is known to be sensitive to clindamycin. Vancomycin must be used if GBS is resistant to clindamycin. Do not use erythromycin. You will Administered at least 4 hours before delivery.IAP is believed to reduce neonatal GBS disease by: (1) temporarily reducing maternal vaginal GBS colonization; (2) preventing colonization of the fetus or newborn's surfaces and mucous membranes; and (3) achieving antibiotic levels in the newborn's bloodstream sufficient to surpass the minimum inhibitory concentration (MIC) for eliminating group B streptococci.Diagnosis of EOS:Clinical presentation: Tachycardia, tachypnea, temperature instability, supplemental oxygen requirement, and lethargy. Hypoglycemia should not be considered a sign of EOS.Diagnosing early-onset sepsis is achieved through blood or cerebrospinal fluid (CSF) cultures. Not effective methods for diagnosing EOS include laboratory tests, such as a complete blood cell count or C-reactive protein (CRP), as well as surface cultures, gastric aspirate analysis, or urine culture.Most infants will generally show signs of EOS GBS infection within the initial 24 hours of birth, with approximately 85% exhibiting symptoms during this timeframe.Waiting for cultures and/or signs can delay lifesaving treatment.Management:According to the American Academy of Pediatrics (AAP), the management of term and late-term infants is undertaken via the clinical condition assessment, the categorical risk factor assessment, and the multivariate risk assessment. As a part of the 2015 AAP guidelines, the Categorical Risk Factor Assessment is more of an algorithmic approach based on the presence or absence of specific risk factor threshold values such as:Ill-appearing infant. Mother diagnosed with chorioamnionitis.Mother GBS positive with inadequate intrapartum prophylaxis.ROM >18 hours.Birth before 37 weeks of gestation.Antibiotics are not always needed, and they can even cause damage. Information taken from the American Academy of Pediatrics, “Management of Neonates Born at ≥35 0/7 Weeks' Gestation With Suspected or Proven Early-Onset Bacterial Sepsis,” published on December 1, 2018:(1) Any newborn infant who is ill-appearing or (2) when the mother has a clinical diagnosis of chorioamnionitis -> laboratory testing must be ordered, and empirical antibiotic therapy should be started.(3) A mother who is colonized with GBS and who received inadequate intrapartum antibiotic prophylaxis, with a duration of ROM being >18 hours or birth before 37 weeks' gestation -> laboratory testing should be ordered.(4) A mother who is colonized with GBS who received inadequate IAP but with no additional risk factors -> observation in the hospital for ≥48 hours.______________________________Conclusion: Now we conclude episode number 162, “Early-onset Sepsis Introduction.” Dr Kooner explained the role of GBS in the pathophysiology of EOS, Dr. Schlaerth discussed the importance of clinical evaluation and Dr. Arreaza explained that GBS screening in the third trimester is not needed when there is a GBS positive urine culture early in pregnancy. Don't miss part 2 of this discussion. By the way, we do not recommend using feces to prevent or treat sepsis, we just shared anecdotal information to end with a funny note.This week we thank Hector Arreaza, Lovedip Kooner, and Katherine Schlaerth. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Neonatal Early-Onset Sepsis Calculator by Kaiser Permanente, available at: https://neonatalsepsiscalculator.kaiserpermanente.org/.Espinosa K, Brown SR. Neonatal Early-Onset Sepsis Calculator. Am Fam Physician. 2021;104(6):636-637.https://www.aafp.org/pubs/afp/issues/2021/1200/p636.html.Puopolo KM, Benitz WE, Zaoutis TE; COMMITTEE ON FETUS AND NEWBORN; COMMITTEE ON INFECTIOUS DISEASES. Management of Neonates Born at ≥35 0/7 Weeks' Gestation With Suspected or Proven Early-Onset Bacterial Sepsis. Pediatrics. 2018 Dec;142(6):e20182894. doi: 10.1542/peds.2018-2894. PMID: 30455342. https://pubmed.ncbi.nlm.nih.gov/30455342/.Briggs-Steinberg C, Roth P. Early-Onset Sepsis in Newborns. Pediatr Rev. 2023 Jan 1;44(1):14-22. doi: 10.1542/pir.2020-001164. PMID: 36587021. https://pubmed.ncbi.nlm.nih.gov/36587021/.Flannery DD, Puopolo KM. Neonatal Early-Onset Sepsis. Neoreviews. 2022 Nov 1;23(11):756-770. doi: 10.1542/neo.23-10-e756. PMID: 36316253. https://pubmed.ncbi.nlm.nih.gov/36316253/.Polin RA; Committee on Fetus and Newborn. Management of neonates with suspected or proven early-onset bacterial sepsis. Pediatrics. 2012 May;129(5):1006-15. doi: 10.1542/peds.2012-0541. Epub 2012 Apr 30. PMID: 22547779. https://pubmed.ncbi.nlm.nih.gov/22547779/.Royalty-free music used for this episode: Good Vibes_Adventure Time by Simon Pettersson, downloaded on July 20, 2023, from https://www.videvo.net/  

Welcome back, to another Tech & Teaching Tuesday Today, we're diving into the delicate dance of integrating work and family life, a topic that resonates with so many of us.     We've got a fantastic guest with us today, Dollnita Wilson, who will shed light on the importance of being present and initiating family conversations about stress within the home. Listen in to my conversation with Dollnita followed by Segment 2; How much screen time is too much and Tips for limiting screen time for the whole family. --- Let's consider guidelines from the American Academy of Pediatrics (AAP), or consult with your pediatrician. Dollnita Winston delivers her signature keynote presentation to company leaders and employees challenging them to "Work Like A Champion and Parent Like A Super Hero." Dollnita will help you, your team, and company successfully clarify life goals, identify stressors, and strengthen family relationships. Dollnita is a Certified Coach, Parent Speaker, Consultant, and Entrepreneur. She has served over 600 individuals through her coaching programs, online courses, and presentations throughout her career. Dollnita's expertise is helping individuals manage work and family life. Through an interactive, engaging, and thought-provoking presentation, Dollnita captivates her audience, providing strategies that really work to improve their quality of family life   Get Dollnita's book here: Destressing the Stressed-Out Family   Learn more about Dollita by clicking one of the links: www.familylifeenhancement.com www.dollnitawinstonspeaks.com https://www.linkedin.com/in/dollnita-winston-msw-7435144a/ https://www.facebook.com/Familylifeenhancement/   We're merging our resource playground to the new Podcast Tab and updating it weekly. CHECK OUT this link: No-Problem Parenting PODCAST Resource Playground!   Tune in each day of our new Daily-Themed Episodes!   Parents, Let's make 2024 a year where you feel more encouraged and less alone in this journey of raising kids! Send this episode in a text or on social with your fellow parenting peeps.  Follow Subscribe, download, or leave your review and we might just share your comments on a future episode!   Are you ready to become a No-Problem Parent?   Start here: Becoming a No-Problem Parent Parenting on-demand training. To learn more about Parenting Support or to pick Jaci's brain on the next steps for you or your child, Schedule a call now: Jaci's Calendar   Want access to ALL of Jaci's favorite resources, training, parenting courses, and all things No-Problem Parenting? Sign up for our NEWSLETTER   Follow @NoProblemParents on: FB IG LinkedIn YouTube Twitter Threads   Check out our Books! No-Problem Parenting; Raising Your Kiddos with More Confidence and Less Fear! Order your copy HERE   Volume 2 No Problem Parenting; Resources and Stories that Create Confidence and Connection AVAILABLE NOW: Paperback or KINDLE   Hugs and High Fives,   Jaci

Our medical community stretches far and wide, with experts that wear many hats. One prevalent group making an impact on the future of childhood medicine is our pediatric trainees. In 1989, the American Academy of Pediatrics (AAP) founded the Section on Pediatric Trainees with a goal to empower and enable pediatric trainees to be strong leaders and advocates for the health and well-being of children. This group aims to be the central source of information, education, and networking for their peers. With over 16,000 members to date, medical students, residents, and fellowship trainees are learning to make a difference in the lives of each child they work with. We recorded this episode at the 2023 AAP National Conference and Exhibition, which couldn't have served as a more perfect place to discuss this topic. “For the medical students listening out there, if you have any interest or if you think you know what specialty you're interested in, just going to these conferences and getting plugged in with these organizations really opens your eyes to a lot of networking opportunities,” Amundam Mancho, MD, MPH, says. Today we are joined by Dr. Mancho, a resident physician at Boston Children's Hospital and Boston Medical Center. She also leads the Section on Pediatric Trainees as the executive coordinator on equity, diversity, and inclusion, or DEI. DEI work is central to her advocacy, and she hopes to expand opportunities for other students making their way through their medical education. “We want trainees to feel like even though that representative isn't necessarily there, that people feel empowered they feel culturally competent and also have that understanding to recognize differences that our patients bring to the space,” Dr. Mancho says. Some highlights from this episode include:   How DEI plays a role within the Section on Pediatric Trainees  Exposing medical students and residents to advocacy opportunities within pediatrics  The benefits organizations like AAP can provide for medical students   For more information on Children's Colorado, visit: childrenscolorado.org   

Last month, 20-year-old Isabelle Ayala filed a first-of-its-kind lawsuit, accusing the American Academy of Pediatrics (AAP) of civil conspiracy, fraud, and medical malpractice. Ayala claims to have been pressured by AAP-affiliated doctors into so-called “gender-affirming care” as a minor.   Like the many young girls who were subjected to experimental gender “transition” therapies, Ayala's story begins with significant emotional and mental distress during her adolescence. Sexually assaulted at age seven, she experienced early-onset puberty at age eight. Deeply uncomfortable in her own body, she began, at age 11, to cut herself. Around the same time, she was introduced to the concept of transgenderism through online social media platforms like Instagram, Tumblr, and Kik. At age 13, Ayala's parents separated, and she was moved from Florida to Rhode Island. By age 14, she became convinced that she had been born in the wrong body and that “transitioning” to living as a man was the only way to solve her problems.   Ayala's story is tragic and, tragically, not unique. The number of young women claiming transgender identities has increased dramatically in recent years and now outnumbers the young men with gender confusion (an increase of 5,000% at the Tavistock Clinic in the U.K.). The factors driving the spike in confusion among young women include childhood trauma, social contagion, and social media, or some combination of the three.   However, rather than treating the underlying factors and distress contributing to her dysphoria, Ayala's pediatricians treated their effects as normal. They ignored her family's history of anxiety disorder, bipolar disorder, PTSD, and depression, as well as Ayala's formal diagnoses of ADHD, depression, and anxiety. Her pediatricians encouraged and facilitated her confusion with ideological blinders that treated what was, in reality, a pseudo-medical fad as if it would help a vulnerable young woman.   Desperate to help their daughter, Ayala's parents trusted these medical professionals who, while feigning objectivity, were, in fact, captured by gender ideology. Though her parents initially sought out interventions that were “totally reversible,” her pediatricians claimed “cross-sex hormonal treatment” was the best option and accepted treatment for her distress and gender dysphoria. In an all-too-common bit of parental manipulation, these doctors asked Ayala's parents whether they would “prefer a dead daughter or a living son.”   Doctors who say this are wrong. So-called “transition” treatments do not address core mental health problems, leave patients with additional, irreversible medical conditions, and fail to address the social factors driving the dramatic increase in body dysphoria among young women. Research suggests that after an initial “honeymoon” period in which patients embrace their new “identities” and harmed bodies, they remain at a disproportionate risk for serious mental illness and suicide. Chemical “transition” treatments are also not “fully reversible” as is often promised. Women who take testosterone experience irreversible masculinizing effects, such as deeper voices and facial hair, and commonly infertility.   Still, after just a few appointments, Ayala was placed on a rapidly increasing dosage of testosterone. However, contrary to what these doctors predicted, Ayala experienced no significant decrease in depression despite an accompanying prescription of antidepressants. Within six months, Ayala was hospitalized for a panic attack. Within eight months, she was hospitalized again following a suicide attempt. With no signs that her depression was abating, her doctors prescribed higher doses of antidepressants, while continuing to inject her with cross-sex hormones.   The following year, Ayala moved back to Florida. Initially, she continued to take testosterone. But, a year after moving, “she distanced from the control and influence” of the doctors who ushered her down this road of gender “transition.” Eventually, she quit taking cross-sex hormones and “gradually grew out of her gender dysphoria,” realizing that her distress over her identity as a female was the result of traumatic childhood experiences. Her reversal reflects the majority of adolescents who experience gender dysphoria. Research suggests that between 88% to 98% of young adults reconcile to their biological sex if allowed to go through puberty.   Thankfully, Ayala's story isn't finished. If successful, this lawsuit could protect many, many minors from these horrific, experimental chemical and surgical interventions. The many medical professionals who perpetrated this harm would be held accountable and, in the future, forced to do their job helping rather than harming. Young women like Ayala need to know that their hearts, minds, and bodies can find healing from their trauma and can learn to accept who they are as a gift of God.  This Breakpoint was co-authored by Jared Eckert. For more resources to live like a Christian in this cultural moment, go to breakpoint.org. 

This week on The Mommy Labor Nurse Podcast, I'm honored to have a distinguished guest, Dr. Wanda Barfield, joining us in support of the CDC's Hear Her Campaign. This initiative aims to raise awareness about maternal health issues and promote respectful maternity care. The CDC has recently released its 2023 Vital Signs Report, shedding light on crucial statistics and findings related to maternal care in the United States. During our time with Dr. Barfield, we'll explore the report's insights, discuss the importance of addressing mistreatment during pregnancy and delivery, and learn how the Hear Her campaign is working to improve communication between healthcare providers and pregnant and postpartum patients. Want to feel more in control of your birth experience? No matter how you plan to deliver, the FREE Birth Prep Guide is here to help you prepare. Have an even better birth! CLICK HERE to learn more about our online birth classes that will help you feel prepared and in control - no matter how you deliver. And be sure to follow @mommy.labornurse on Instagram to join our community of over half a million for education, tips, and solidarity on all things pregnancy, birth, and postpartum! About Dr. Wanda Barfield Wanda Barfield, MD, MPH, FAAP, is the Director of the Division of Reproductive Health (DRH) within the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) at the Centers for Disease Control and Prevention (CDC). She also serves as Assistant Surgeon General in the U.S. Public Health Service. She received her medical and public health degrees from Harvard University and completed a pediatrics residency at Walter Reed Army Medical Center and a neonatal-perinatal medicine fellowship at Harvard's Joint Program in Neonatology (Brigham and Women's Hospital, Beth Israel Hospital, and Children's Hospital, Boston). Before joining CDC in 2000, she was Director of the Neonatal Intensive Care Unit at Madigan Army Medical Center in Tacoma, Washington. She is also an Adjunct Assistant Professor at Emory University School of Medicine. She is a Fellow with the American Academy of Pediatrics (AAP) and is the CDC liaison to the AAP Section on Perinatal Pediatrics (SoPPe) and Committee on Fetus and Newborn (COFN). She continues to do clinical work in neonatology, providing care to critically ill newborns in Atlanta, Georgia.  

This is a free preview of a paid episode. To hear more, visit public.substack.comToddlers unsnapping their onesies or pulling barrettes out of their hair are sending gender messages and could be transgender, says one expert in the field of gender medicine. Likewise, an adolescent with a long history of mental illness who suddenly announces a transgender identity is to be believed and immediately affirmed, according to the prevailing wisdom in gender clinics.Reflecting these beliefs, in 2018, the American Academy of Pediatrics (AAP) 2018 produced a policy statement on gender-affirming care for minors that recommended affirming young people in their opposite-sex identities, stated that adolescents should have access to puberty blockers, cross-sex hormones, and bilateral mastectomies as a remedy for their gender distress, and called the traditional approach of watchful waiting “outdated” and unsupported by science.Since the publication of this statement five years ago, thousands of American minors have received “gender-affirming” hormonal and/or surgical treatment for their self-declared transgender identities.

Dr. Eric Flake and his daughter Sadie discuss the importance of social skills in the success of children and youth, and how the COVID-19 pandemic has affected the development of these skills.  This podcast features the unique perspective and experiences of one military-connected youth.   This podcast is made possible by generous funding from BAE Systems, Inc. To learn more, visit https://www.baesystems.com/en-us/home.   Audio mixing by Concentus Media, Inc., Temple, Texas.   Show Notes:   Bio: Colonel (Ret) Eric Flake M.D. is a team member of Olympia Pediatrics, the largest independent pediatric group in Thurston County, Washington. He is a Developmental-Behavioral Pediatrician and created the Developmental-Behavioral Family Readiness Center for the DoD. Dr. Flake is faculty of the only Department of Defense (DoD) Developmental Behavioral Pediatrics Fellowship at Joint Base Lewis McChord, Tacoma, Washington, and founded the only DoD Autism Center — JBLM Center for Autism Resource, Education and Services (CARES). He attended the military medical school (USUHS), graduating in 2001. Dr. Flake has published numerous articles and presentations regarding childhood resilience, autism and the psychosocial effects of deployment on children. He is an Associate Professor at the Uniformed Services University and Clinical Assistant Professor at the University of Washington, currently serves in the American Academy of Pediatrics (AAP), and serves on the science advisory board for the Military Child Education Coalition. Sadie is a 16-year-old junior at Steilacoom High School in Washington. She is a member of MCEC's Student 2 Student, National Honor Society, and SNHS programs and is a varsity cheerleader. She also enjoys singing in the Advanced and Chamber Choirs. She enjoys spending time with her family, reading books, playing the piano, and riding horses. Sadie has moved four times in her life. She has lived in Mississippi (2), Germany, and Washington (2). She has three sisters, one brother, and her dog Toby.   Resources: MCEC's On the Move® magazine https://issuu.com/militarychild/docs/2023-107_otm_final_issuu?fr=xKAE9_zU1NQ See article Top Ten Social Skills Students Need to Navigate Life's Challenges.   https://www.semel.ucla.edu/peers The Program for the Education and Enrichment of Relational Skills (PEERS®) is world-renowned for providing evidence-based social skills treatment to preschoolers, adolescents, and young adults with autism spectrum disorder (ASD), attention deficit/hyperactivity disorder (ADHD), anxiety, depression, and other socio-emotional problems.   https://thepeakproject.org/ Positive, Engaged, Achieving Kids (PEAK) is a national study to evaluate the effectiveness of a classroom social skills curriculum in early elementary grades.

“To fast or not to fast?” When it comes to cholesterol screening, that is the question. Rachel Shustak, MD, and Jordy Martino, MSN, CRNP, an attending cardiologist and a nurse practitioner with the Lipid Heart Clinic at Children's Hospital of Philadelphia, respectively, provide answers to that age-old question plus non-pharmacologic approaches proven to lower cholesterol levels; and more. By taking the ideal screening ages, lifestyle changes and diet recommendations from the American Academy of Pediatrics (AAP) and translating them into real, practical tips for reducing the risk of cardiovascular disease, they help to settle a longstanding debate among primary care physicians. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.

It's In the News, a look at the top stories and headlines from the diabetes community happening now. Top stories this week: a new CGM from Medtronic is approved in Europe, semaglutides for people newly diagnosed type 1 may make a huge difference, a look at Keto diet for kids, Apple teases non-invasive glucose monitoring and Dexcom U is back! Find out more about Moms' Night Out  Please visit our Sponsors & Partners - they help make the show possible! Take Control with Afrezza  Omnipod - Simplify Life Learn about Dexcom  Edgepark Medical Supplies Check out VIVI Cap to protect your insulin from extreme temperatures Learn more about AG1 from Athletic Greens  Drive research that matters through the T1D Exchange The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Twitter Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Reach out with questions or comments: info@diabetes-connections.com Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and these are the top diabetes stories and headlines happening now XX In the news is brought to you by Edgepark simplify your diabetes journey with Edgepark XX Our top this story this week a new CGM from Medtronic gets approval in Europe. It's called Simplera – an all in one disposable CGM– no fingersticks and no over-tape, which is new for Medtronic. Simplera is integrated with the InPen™ smart insulin pen, which provides real-time, personalized dosing guidance to help simplify diabetes management. Medtronic will begin a phased launch at the European Association for the Study of Diabetes (EASD) 59th Annual Meeting in Hamburg, Germany on Oct. 2-6, 2023. Simplera™ is indicated for ages 2+ and compatible with iOS and Android. Simplera™ is not approved by the FDA and is limited to investigational use in the U.S. Medtronic's automated insulin delivery (AID) system integrated with this next-generation sensor is currently under review for CE Mark and is not commercially available in the U.S. or in Europe. I've reached out to Medtronic – we'll learn more soon. https://news.medtronic.com/2023-09-21-Medtronic-Diabetes-announces-CE-Mark-for-new-Simplera-TM-CGM-with-disposable-all-in-one-design XX A small study and a long way to go here, but a weekly dose of semaglutide, helped seven out of 10 patients newly diagnosed with type 1 diabetes stop taking insulin after three to six months. Semaglutide is the key ingredient in Ozempic.. approved for type 2 and Wegovy, approved for weight loss. It's also thought to tamp down the inflammation that can lead to the destruction of insulin-producing cells. He noted previous research has shown that patients with newly diagnosed type 1 diabetes still have the ability to make some of their own insulin, so the team tested semaglutide in patients within three months of their diagnosis. All ten patients were taking meal time and long acting insulin. After three months, all of them came off meal time insulin, and seven stopped basal insulin. Much more study needed here.. interestingly. Ozempic's maker, Novo Nordisk noted it didn't sponsor this study and isn't pursuing trials of semaglutide for type 1 diabetes itself, https://www.cbsnews.com/philadelphia/news/semaglutide-ozempic-wagovy-type-1-diabetes-insulin-study/ XX a widely used diabetes drug that controls blood sugar can also prevent muscle atrophy and muscular fibrosis—which can help the elderly bounce back faster from injury or illness. Researchers from the University of Utah Health have found that Metformin has surprising applications on a cellular level. Their findings were published in the journal Aging Cell. “We saw two things in our study,” Drummond says. “When participants took Metformin during a bed rest, they had less muscle atrophy. During the recovery period, their muscles also had less fibrosis or excessive collagen. That build-up can make it harder for the muscle to properly function.” https://scitechdaily.com/researchers-discover-surprising-side-effect-of-common-diabetes-drug/ XX Researchers at the Massachusetts Institute of Technology (MIT) say they have created a device for people with type 1 diabetes that may help produce insulin when needed. Their findings were published on September 18 in The Proceeding of the National Academy of Science. The MIT engineers reported that the small implantable device could carry hundreds of thousands of insulin-producing islet cells. Previous devices made for the same purpose failed and stopped producing insulin because they ran out of oxygen needed to create the insulin. To combat this, the scientists created an oxygen factory on the device, allowing it to generate oxygen by splitting water vapor in the body. The researchers said the device could potentially replace insulin injections in people with type 1 diabetes. Dr. Caroline Messer, an endocrinologist at Northwell Lenox Hill Hospital in New York, not involved in the study, explained to Medical News Today: “Currently, islet cell transplant is limited to patients with a history of severe metabolic complications and consistent failure of insulin-based therapies. Long-term success rates are low, and patients require lifelong immunosuppressive therapy. Conceptually, implantable islet cells that do not require immune suppression and create their own source of oxygen is nothing short of brilliant.” MIT researchers said the device kept glucose levels stable for at least one month when implanted into mice. The device has not yet been tested in humans. Researchers hope to create a larger version of the device and test it in people with type 1 diabetes. They expect this device to be about the size of a stick of chewing gum. “We are eager to see this technology translate, but it does take time,” said Dan Anderson, PhD, the study's lead author and a professor of chemistry at MIT. “We hope to see this technology in humans within at most four years.” Although the researchers remained focused on treating diabetes, they indicate this kind of device might be able to be adapted to treat other illnesses that require repeated delivery of therapeutic proteins. “This technology allows for an improvement in the current approach to implantation of units containing cells that produce insulin in response to blood glucose levels without requiring invasive surgery,” said Dr. Eliud Sifonte, an endocrinologist at NYU Langone Medical Associates, who was not involved in the study. “Historically, this approach has been difficult to maintain due to an inability to provide a good oxygen supply to those implanted cells,” Dr. Sifonte told MNT. https://www.medicalnewstoday.com/articles/how-a-new-device-may-help-with-insulin-production-for-type-1-diabetes XX Weight Watchers and Abbott announce their new app for people with diabetes. This is a WW app that integrates the use of a Freestyle Libre. The app helps people with diabetes understand how food and activity impact their glucose levels. WeightWatchers had a team of nutrition and behavioral science experts designed its tailored plan. It aims to help people with type 2 diabetes form helpful habits and meet their health goals. The plan has demonstrated success in helping people with diabetes lose weight and lower their HbA1c, the company said. https://www.massdevice.com/abbott-weightwatchers-unveil-connected-diabetes-app/ XX Italy celiac XX Keto and other low carbohydrate diets have gained popularity for type 2 diabetes in adults, but there are safety concerns for young people, the American Academy of Pediatrics (AAP) cautioned. Restricting carbohydrates in young people at risk for or with diabetes raises concerns for growth deceleration, nutritional deficiencies, poor bone health, nutritional ketosis, and disordered eating behaviors, Tamara Hannon, MD, of Indiana University School of Medicine in Indianapolis, and colleagues on the AAP Committee on Nutrition wrote in a clinical report to guide care. Based on demonstrated risks, low- and very low-carbohydrate diets were not recommended for children and adolescents with type 1 diabetes, "except under close diabetes care team supervision utilizing safety guidelines," the group wrote in Pediatricsopens in a new tab or window. Low-carb (

Today Blu and Marissa discuss Parenting- problems with behavior modification. Ruby Franke YouTube Vlogger from 8 Passengers charged with 6 felony counts of child abuse. https://www.npr.org/2023/09/06/1197833521/ruby-franke-charges-youtube-child-abuse?fbclid=IwAR3mf0aI2RTcZIep9n6nFOz0OTTSrN4Wb9SdXQ1qCifKdorUdxltn3PGrb8 Your parenting style can affect everything from your child's self-esteem and physical health to how they relate to others. It's important to ensure your parenting style is supporting healthy growth and development because the way you interact with your child and how you discipline them will influence them for the rest of their life. Researchers have identified four main types of parenting styles:1 Authoritarian Authoritative Permissive Uninvolved Each style takes a different approach to raising children, offers different pros and cons, and can be identified by a number of different characteristics. People often want to know which parenting style they are using—and which is the best. The truth is that there is no one right way to parent, but the general parenting style that most experts, including the American Academy of Pediatrics (AAP), recommend is an authoritative approach.

Your parenting style can affect everything from your child's self-esteem and physical health to how they relate to others. It's important to ensure your parenting style is supporting healthy growth and development because the way you interact with your child and how you discipline them will influence them for the rest of their life. Researchers have identified four main types of parenting styles:1 Authoritarian Authoritative Permissive Uninvolved Each style takes a different approach to raising children, offers different pros and cons, and can be identified by a number of different characteristics. People often want to know which parenting style they are using—and which is the best. The truth is that there is no one right way to parent, but the general parenting style that most experts, including the American Academy of Pediatrics (AAP), recommend is an authoritative approach.

Your child's pediatrician is likely one of their most important; it's where all things begin. Author of the “411” series and revered pediatrician, Dr. Ari Brown, gives great insight on traits you should look for in your own pediatrician, vaccine schedules and resources to help you be the best advocate for your NICU baby.   In this episode, we chat about: After receiving your degree in child development, what made you pursue a career in pediatrics? What are things your pediatrician should be looking at and considering if your child is a NICU graduate? What traits should you consider in your pediatrician to best serve your child? When should a parent consult a pediatrician and when should they seek counsel from an additional specialist for their child? What should the relationship look like between a child's pediatrician and their other specialists? In an age of digital medicine, i.e. Dr. Google, how do you counsel your parents on when to seek medical care and when to treat things at home? Describe the ideal pediatrician-patient relationship. Let's talk about delayed vaccination schedules for medically fragile children. Tell us about your books: Baby, Expecting and Toddler 411. What can reader's expect? For a NICU parent who feels hyper-sensitive to every symptom their child presents, what's your best advice? Ari Brown, MD is a practicing pediatrician in Austin, Texas, for over 25 years after completing her pediatric residency and fellowship in developmental/behavioral pediatrics at Harvard Medical School/Children's Hospital Boston. Her passion to advocate for children and educate families extends beyond the office setting. She is the author of the bestselling "411" parent education book series including Baby 411: Clear Answers and Smart Advice for Your Baby's First Year with the new 20th anniversary/10th edition out this year, Toddler 411, and Expecting 411 available where books are sold and on Amazon. She also hosts online courses on newborn care and sleeping through the night. She has appeared on numerous national news and talk shows including NBC's Today Show, Dr. Phil, and CNN. She is a trusted voice for children's health, serving as a spokeswoman for the American Academy of Pediatrics (AAP). Dr. Brown has received the American Academy of Pediatrics Lifetime Achievement Award for child health advocacy.   Connect with Dr. Brown: Twitter: https://twitter.com/baby411   Facebook: https://www.facebook.com/expecting411  TikTok: https://www.tiktok.com/@aribrownmd  Website: https://baby411.com/    Buy Dr. Brown's books: https://amzn.to/3drAzH3   Learn about Dr. Brown's online newborn care and sleeping courses: https://store.draribrown.com/   The NICU is hard. We're here to help.   Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook: https://www.facebook.com/handtohold Instagram: https://www.instagram.com/handtohold/   Twitter: https://www.twitter.com/NICUHandtoHold YouTube: https://www.youtube.com/HandtoHold    The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license   Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license  

“We are making strong recommendations based on weak evidence,” a statement from practicing pediatrician, Dr. Julia Mason, about the basis of gender affirming care, which is the model of care currently backed by the American Academy of Pediatrics (AAP).In this episode, Dr. Mason sits down with Sasha & Stella to discuss her relentless efforts towards charging the AAP to pursue a systematic review of the evidence behind gender affirming care. They discuss the series of events leading up to the AAP's most recent article reaffirming their commitment to the affirmation model as laid out in the AAP's policy statement published in 2018, but also announcing their authorization of a systematic review of the evidence. This decision on the part of the AAP comes long overdue in the wake of so many European organizations who have recently conducted their own reviews, all of which have resulted in abrupt shifts in the care protocols around gender transition.Links:NY Times article about the AAP's recent moves:https://www.nytimes.com/2023/08/03/health/aap-gender-affirming-care-evidence-review.html SEGM's Spotlighthttps://segm.org/news Rafferty's 2018 AAP Statementhttps://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for Cantor Fact Checks the Rafferty Paperhttp://www.jamescantor.org/uploads/6/2/9/3/62939641/cantor_fact-check_of_aap.pdf Wall Street Journal Articlehttps://www.wsj.com/articles/doctors-group-to-examine-guidelines-for-treatment-of-transgender-youths-dbe98caa The Cass Review | Interim Report - Independent Review of Gender Identity Services for Children and Young Peoplehttps://cass.independent-review.uk/publications/interim-report/Genspect's Open Letter to the AAPhttps://genspect.org/an-open-letter-to-the-american-academy-of-pediatrics/ Leor Sapir's Articlehttps://www.wsj.com/articles/second-thoughts-on-gender-affirming-care-american-academy-pediatrics-doctors-review-medicine-a7173276 AAP Reaffirms But Authorizes Systematic Reviewhttps://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected Opinion Supporting Gender Dysphoric Youth

“It's time for parents to abandon the old adage that kids “deserve a good spanking” every once in a while. The American Academy of Pediatrics (AAP) issued a strong statement in 2018, advising parents not to spank their children, based on a growing pile of studies showing that the disciplinary technique does more harm than good. “The new AAP statement includes data that show that kids who were spanked in their early years were more likely to be more defiant, show more aggressive behavior later in preschool and school and have increased risk for mental health disorders and lower self-esteem,” says pediatrician Karen Estrella, MD. Research over the last 20 years has demonstrated that spanking increases aggression in young children and is ineffective in changing their undesirable behavior, the AAP says. Studies have also linked spanking to an increased risk of mental health disorders and impaired brain development. The AAP is an influential professional association that represents some 67,000 pediatricians across the country. But this evolution in thinking about parental discipline isn't just limited to medical professionals — fewer parents raising children today seem to support spanking. In a 2013 poll, about half of parents under the age of 36 reported having spanked their own children. Among all of the older generations, that number was 70% or higher.” “Discipline strategies to use instead of spanking Try these three steps to effectively discipline your child: Establish a positive and supportive parent-child relationship that gives your child a reason to demonstrate good behavior. Use positive reinforcement to encourage your child to behave. If necessary, use other disciplinary methods such as time outs or taking away your child's favorite privileges for a period of time. Dr. Estrella builds on those and other recommendations from the AAP with these additional tips: Be a role model. Make it a priority to remain calm, with the understanding that your child looks to you to be an example of how to behave. Set rules and limits that can be enforced consistently among all caretakers. There should be no good guy/bad guy for your child with multiple caretakers. Make sure that rules are verbalized using age-appropriate language. Constantly praise and celebrate good behaviors. Give attention to behaviors that you want your child to repeat. Show that you are observant and proud when they behave well. Similarly, know when not to respond. “Ignoring a bad behavior, for example if a child throws himself to the floor because he wasn't allowed to play on the iPad, is a good way to make that behavior decrease with time,” Dr. Estrella says. “In this case, the child will learn that throwing a tantrum will not get him the iPad.” Learn from past experience. What triggers your child's misbehavior? If you can identify a trigger, are there ways to avoid it, or at least better prepare for it? Make sure your child knows what the consequences will be if they don't comply with your requests or misbehaves in a certain situation. Redirect bad behavior. Turn “don't do that” into an action that your child can do. If your child takes a toy from a playmate, for example, offer your child another toy or activity until it's their turn. Use the same mindset for winning/losing situations. Call a time out when a rule is broken. Remove your child from that situation for a pre-set amount of time, which can be one minute per year of age. Explain in a short phrase why you are doing it. Once your child gets older, let them lead the time out by saying, “Go to time out and come back when you are calm and ready.” This can teach your child to understand their emotions, actions and consequences, Dr. Estrella explains. “Talk with your pediatrician if those behaviors are common at your kid's age about what strategies to use,” she adds. “If needed, a pediatric psychologist, as well as community resources can provide parenting classes for additional guidance or support.” --- Send in a voice message: https://podcasters.spotify.com/pod/show/antonio-myers4/message Support this podcast: https://podcasters.spotify.com/pod/show/antonio-myers4/support

This series is part of the work I did with WIND (Weight Inclusive Nutrition and Dietetics) to create a comprehensive response to the disastrous American Academy of Pediatrics (AAP) guidelines for higher-weight children. I was part of the team that analyzed the research that, the AAP claims, supports their recommendations, and I'll be publishing my breakdowns here as well.Today's study is The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012 by Chang S-H, Stoll CRT, Song J, Varela JE, Eagon CJ, Colditz GA Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

Julia Mason is a practicing pediatrician, a Fellow of the American Academy of Pediatrics (AAP), and a founding member of the Society for Evidence Based Gender Medicine (SEGM). A politically homeless, feline-affirming, bleeding-heart liberal who wants to pause pediatric transition, Mason raises grave concerns about the “affirmation model” which locks in adolescent identities at a time kids cycle through them as part of growing up. We learn the AAP actively suppresses internal dissent while profiting from corporate endorsements; that there are no empirical criteria for identifying which kids are “actually” trans; that small children believe whatever adults - especially their parents - tell them; and that Corinna is drinking a lot of electrolytes.  Links: Wheaton Labs: https://wheaton-labs.com/ Julia Mason on Twitter: https://twitter.com/JuliaMasonMD1 SEGM, the Society for Evidence Based Gender Medicine https://segm.org/ Reconsidering Informed Consent: https://pubmed.ncbi.nlm.nih.gov/35300570/ The Myth of “Reliable Research”: https://pubmed.ncbi.nlm.nih.gov/36593754/ Gender doctor praises Leelah Alcorn “boldly” committing suicide: https://www.thedistancemag.com/p/leader-of-alabama-gender-clinic-praises --- Support this podcast: https://podcasters.spotify.com/pod/show/heterodorx/support

Let go of your guilt and shame about screen time. Dr. Wendy explains why it's time to re-think recommendations about screen time - with Dr. Jenny Radesky, author of the American Academy of Pediatrics (AAP) policies on children and media. Together, we can learn with our kids how we can all enjoy media and balance our digital lives.  And be sure to tune in on Friday for a bonus episode with Dr. Radesky. The conversation continues as she discusses how apps and games are designed to keep kids online while sharing solutions to make the online world safer and healthier for kids. Send your questions to hello@pediatriciannextdoorpodcast.com or submit at drwendyhunter.com Find products from the show on the shop page. For more information on Dr. Radesky and her research please visit: Common Sense Media Screenagers Movie  Jenny Radesky, MD - see her work on PBS Kids Twitter: @jennyradesky  More from The Pediatrician Next Door: Website: drwendyhunter.com  Instagram: @the_pediatrician_next_door Facebook: facebook.com/wendy.l.hunter.75 TikTok: @drwendyhunter LinkedIn: linkedin.com/in/drwendyhunter This is a Redd Rock Music Podcast IG: @reddrockmusic www.reddrockmusic.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Martin created Einstein Pediatrics in 2016. Living in Vienna, Dr. Martin is not only a physician to many local kids, but an active member of the community. Prior to starting his own practice, Dr. Martin spent over 8 years as a managing partner and clinical researcher at Advanced Pediatrics.  He has over 20 years of clinical experience and spent over 10 years as a clinical site investigator on studies related to many of today's vaccines including those for flu, HPV, and pneumococcus.He served 2 years as the President of the Virginia Chapter of the American Academy of Pediatrics (AAP) during the COVID pandemic where he regularly worked with the governor's office and the Virginia Department of Health, representing children and pediatricians.  He continues to serve in leadership at the AAP and on Virginia's Immunization Coalition, ImmunizeVA. He takes a special interest in childhood vaccinations, child mental health, and particularly, Attention Deficit Disorder.  He has received multiple awards and recognition for his work in advocacy, education, and leadership in the field of pediatrics.  Dr. Martin is regularly listed as a Washingtonian Top Doctor and a Northern Virginia Magazine Top Doctor and even early in his career recognized as a "Rising Star" in the Washington Post.  Dr. Martin is married and has a teenage son and daughter.  He is an avid tennis player who you will find regularly at the Fairfax Racquet Club. Support the showPlease subscribe to our podcast on Apple or Amazon and give us a 5-star review. The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between. The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

The number of migrant children entering the United States without a parent or legal guardian reached a record high last year. Most unaccompanied children temporarily enter the care of the U.S. government before joining parents or other sponsors in U.S. communities to await the outcome of their immigration proceedings. Once they have made this transition, the services and supports that are critical to their ability to thrive—medical and mental health care key among them—can be difficult to access. This 60-minute conversation marks the conclusion of a research project undertaken in 2022 by MPI and the American Academy of Pediatrics (AAP) to study unaccompanied children's access to medical and mental health services after release from federal custody. AAP and MPI launched their report, A Path to Meeting the Medical and Mental Health Needs of Unaccompanied Children in U.S. Communities, and discussed its findings and recommendations during this webinar, including insights from field visits in Houston, Los Angeles, and New Orleans, where researchers spoke with more than 100 professionals working with unaccompanied children. The conversation featured a walk-through of the report's findings around barriers to care for unaccompanied children and promising community practices to strengthen medical and mental health services. It also focused on the report's recommendations on steps that governments, health systems, schools, and communities can take to improve access to medical and mental health care, for the benefit of the children and broader society.

Last week we talked to Keri Richmond, manager of child welfare policy for the American Academy of Pediatrics (AAP), about a 50-state look at the new federal rules prompted by the Family First Prevention Services act around the use of group homes, residential programs and other forms of congregate care.On this week's podcast we talk to Jim Czarniak about a deep dive on the same topic that focused on New York. Czarniak's work surfaced very similar findings to the national review done by AAP. Reading RoomEighteen Months Later: New York Family First Implementation Shows LittleChange for Foster Care Youth Placed in Group Carehttps://bit.ly/3H1oDb1Family First Implementation: A One Year Review of State Progress in Reforming Congregate Carehttps://bit.ly/3L5m3DoImplementing the Family First Prevention Services Acthttps://bit.ly/3A4L9vQThe Imprint's Complete Guide to the Family First Acthttps://imprintnews.org/special-series/complete-guide-the-family-first-act

This episode of the Design Thinking 101 podcast is 5.5 Things Every Designer Should Know About: Positive Childhood Experiences. Dr. Robert Sege, MD PhD is a pediatrician at the Floating Hospital for Children at Tufts Medical Center, and a professor of medicine at Tufts University School of Medicine, where he directs the Center for Community Engaged Medicine. Dr. Sege is nationally known for his research on effective health systems approaches that directly address the social determinants of health. He is a senior fellow at the Center for the Study of Social Policy in Washington, and serves on the boards of the Massachusetts Children's Trust and Prevent Child Abuse America. He has served on the American Academy of Pediatrics Committee on Child Abuse and Neglect, and on its committee on injury violence and poisoning prevention. Listen to learn about: Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs) Designing for children Helping kids navigate childhood in a positive way The importance of creating safe environments for children Ways we can give kids positive experiences that allow them to thrive Our Guest Robert Sege, MD, PhD is a Professor of Pediatrics and Medicine at Tufts University School of Medicine, where he directs the Center for Community-Engaged Medicine and is a core faculty member of the Tufts Clinical and Translational Science Institute. He has served on national committees for the American Academy of Pediatrics (AAP), been lead author on several important AAP policies, and has received national awards for his work, including the prestigious 2019 Ray E. Helfer award from the Alliance of Children's Trusts and the American Academy of Pediatrics. He has led teams that developed new models for pediatric primary care and a new framework for working with children and families (HOPE). His extensive speaking and publication list include contributions to the prevention and treatment of child maltreatment and youth violence. He is a graduate of Yale College, received his PhD in Biology from MIT and his MD from Harvard Medical School, and did his pediatric residency at Boston Children's Hospital.  Bob lives in the Boston area, where he and his wife Karen have raised three young adult children.   Show Highlights [03:35] Bob starts the conversation talking about how all of the things we experience as children – good and bad – have a lasting impact on who we are as adults. [05:47] Parents: trust yourselves and your ability to raise your children. [06:33] Dawan and Bob talk about the often-contradictory advice that exists for parents. [07:34] Positive modeling for kids. [09:07] Children need safe, stable, nurturing relationships. [10:03] Defining family. [10:19] Designing housing and the spaces where families and communities gather. [14:15] Children need to have safe and equitable environments to live, learn, and play in. [14:29] Looking at the physical environment kids need. [15:23] Children also need a safe emotional environment. [16:49] Bob offers ideas for modern school design. [17:32] The need for arts programs in school. [18:01] HOPE's website logo was designed by Boston Public High School students. [19:18] Children need to be actively engaged. [20:49] Dawan mentions how many services are designed more for parents than for the child. [21:21] Giving kids a sense of ownership in the family and in the world. [22:13] Designing and building community and finding ways children can be involved. [24:09] Children need opportunities for emotional growth. [24:31] Emotional growth on the playground. [26:06] Children need time in nature. [27:52] PCEs help us humanize one another and help us look past our biases about someone. [31:13] Dawan comments that it's just as important to know the good stories as it is the bad stories if we really want to understand. [31:52] Bob talks about parent cafés and other places where parents can meet to talk about parenting. [33:37] Where to learn more about HOPE and the work Bob is doing.   Links Robert on Twitter Robert at Tufts Medical Center Robert at the Center for the Study of Social Policy Effective Discipline to Raise Healthy Children Evidence-Based Health Care for Children: What Are We Missing? Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE HOPE: Healthy Outcomes from Positive Experiences HOPE on LinkedIn HOPE on Twitter Register for HOPE Summit 2023   Other Design Thinking 101 Episodes You Might Like 5.5 Things Every Designer Should Know About: The Opioid Overdose Epidemic (Part 1) with Stacy Stanford — DT101 E102 A Designer's Journey into Designing for Health and Healthcare with Lorna Ross — DT101 E45 Healthcare Design Teams + Wellness + ScienceXDesign with Chris McCarthy — DT101 E24

Episode 131: Breastfeeding Part 2Lia and Aruna explain some updates given by the American Academy of Pediatrics regarding breastfeeding. Dr. Arreaza adds some comments about breastfeeding. Written by Aruna Sridharan, MS4, and Lia Khachikyan, MS4, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.The motivation for this episode was a recent publication by the American Academy of Pediatrics, on June 27, 2022, titled Policy Statement: Breastfeeding and the Use of Human Milk. During this episode, we included updated information along with other useful material.Duration of breastfeeding:The American Academy of Pediatrics (AAP), World Health Organization (WHO), and Center of Disease Control (CDC) recommend exclusive breastfeeding at least for the first 6 months, after which one can start to introduce complementary pureed foods. The US Department of Agriculture states that initiating complementary foods earlier than 6 months offers no benefit to the baby and can even be associated with a higher risk of overweight or obesity, especially if introduced before 4 months. Mothers are then encouraged to continue breastfeeding for at least one year and can further continue up to 2 years of age or longer - as long as mutually desired by mother and child. This is an update from previous recommendations regarding the duration of breastfeeding until 1 year of age.Composition of human breastmilk:As the sole source of nutrition for infants in the first 6 months of life, breast milk plays a critical role in development. Human milk has a unique composition of proteins, fats, and lactose, as well as vitamins, electrolytes, antimicrobial, anti-inflammatory immunoregulatory agents, and living leukocytes, all of which contribute to the developing immune system of the child. Breast milk is rich in Vitamins B1, B2, and B6, Vitamins C, A, E, Ca, Mg, phosphate, and folate. However, it is low in Vitamins K, D, B12, and iron, therefore supplementation of these nutrients is required. It is important for mothers to consume an adequate and healthy diet for their breastmilk to contain appropriate levels of these nutrients. Water-soluble and Fat-soluble vitamins can be low in breast milk if the mother has a deficiency. Selenium can be low if maternal serum levels are low. Dietary iodine deficiency may also be exacerbated by smoking; iron deficiency; and consumption of large amounts of foods that interfere with the production of thyroid hormones, known as goitrogens, including Brussels sprouts, kale, cabbage, cauliflower, and broccoli. Maternal diet:Mothers should consume iodine-rich foods, such as lean meat, eggs, dairy, beans, and lentils. It is important to choose a variety of whole grains, as well as fruits and vegetables, and continue taking multivitamins. Fun fact: Different foods will change the flavor of your breast milk. This will expose your baby to different tastes, which might help him or her more easily accept solid foods down the road! It is recommended that mothers consume 290 mcg of iodine and 550mg of choline a day. Is there anything that mothers should avoid in their diet?-Limit seafood: Although fish is a good source of protein and lean meat, it contains some mercury, which can be transferred to the baby's diet. High amounts of mercury can have an adverse effect on the baby's brain and nervous system.-Limit caffeine: Also, we know a lot of people love their morning dose of espresso! Low to moderate amounts, equivalent to 2-3 cups of coffee per day, do not adversely affect the infant. However, anything more than around 300 mg of caffeine can cause irritability, poor sleeping patterns, fussiness, and jitteriness. Remember! This also includes sodas, energy drinks, tea, and even chocolate! As a reminder, one cup of coffee can have 95mg of caffeine.Vegan mothers: Vegetarian/vegan mothers may have very limited amounts of vitamin B12 in their bodies, which can result in neurological damage to the baby. Iron levels may also be sparse since plant-based foods only contain non-heme iron, which is less absorbable than heme iron. The American Dietetic Association recommends supplementation of vitamin B12, iron, and other nutrients such as choline, zinc, iodine, or omega-3 fats. Benefits:For the baby: Studies show that exclusively breastfeeding for 6 months decreased rates of neonatal and infant mortality as well as pediatric disorders such as otitis media, diabetes mellitus, obesity, lower respiratory tract disorders, asthma, atopic dermatitis, sudden infant death syndrome (SIDS), severe diarrhea, and inflammatory bowel disease. The longer an infant is breastfed, the greater the protection from certain illnesses and long-term diseases. For the mother: The longer a mother breastfeeds, the greater the benefits to her health as well. Mothers who breastfeed experience a lower risk of hypertension, type 2 diabetes, and breast, ovarian, and endometrial cancers. Contraindications:-Alcohol: Having up to 1 drink per day is not harmful to the baby, especially if the mother waits at least 2 hours before feeding the infant. This allows time for the blood alcohol concentration in the breastmilk to decrease. Consuming more than 2 standard alcoholic drinks daily is highly discouraged.-Tobacco: Cigarette smoking, or the use of nicotine products, is associated with decreased production of milk, shorter lactation time, and an increased risk of SIDS, asthma, and other respiratory illnesses in infants. Therefore, mothers should be strongly encouraged to stop smoking and minimize secondhand exposure. We know it is very difficult for people to quit abruptly. While transitioning to cessation, mothers should be counseled to smoke right after breastfeeding to allow the greatest amount of time for nicotine to exit the body until the next feed. Other cessation alternatives such as the patch or gum can also be used during breastfeeding.Varenicline: No human data is available to assess the risk of infant harm, but it is likely excreted in the milk, no data on the assessment of milk production.-Other substances: Marijuana, opioids, amphetamine, cocaine, and other illicit drugs are contraindicated due to their effects on neurodevelopmental behaviors. If these substances have been used intrapartum or during breastfeeding, it is important to monitor the baby for Neonatal Abstinence Syndrome. Some symptoms include poor weight gain, tremors, high-pitched crying, stuffy nose, poor feeding/sucking, seizures, irritability, poor sleep, vomiting, and diarrhea.-Maternal infections: Breastfeeding is not contraindicated during most maternal infections. Some exceptions include HIV, Human T-cell lymphotropic virus type I or II, untreated brucellosis, Ebola virus, or active Herpetic lesions on the breast. Women with herpetic lesions may breastfeed from the unaffected breast. -Maternal medications: Medications are relatively safe for breastfed babies, but some contraindications include anticancer drugs, oral retinoids, lithium, iodine, and amiodarone. Mothers should go over their medication list with their primary physician.Pregnancy and Lactation Labeling Final Rule (PLLR): Classification of drugs according to their impact on pregnancy and breastfeeding (categories A, B, C, D, X) was started in 1979, but it was stopped in 2015 and replaced by the Pregnancy and Lactation Labeling Final Rule (PLLR). The former categories were replaced with narrative sections and subsections to include: Pregnancy (including labor and delivery), Lactation, and information for Females and Males of Reproductive Potential (pregnancy testing, contraception, infertility).Role of the physician and stigmas:It is well known that breastfeeding can strengthen the bond between the mother and her child. Therefore, when latching becomes a problem, mothers are quick to become discouraged. If this happens, pediatricians should educate the parents that many breastfeeding problems commonly arise between 4-7 days after birth. Sometimes, exclusive or any amount of breastfeeding is not always possible, despite the mother's best intentions. This can understandably cause them to feel a lot of guilt and disappointment as a new mother. Physicians should provide a safe, non-judgmental environment for the parents to openly discuss their difficulties while educating them on proper latching techniques and other alternatives for breastfeeding.Conclusion: Now we conclude our episode number 131 “Breastfeeding Part 2.” Aruna and Lia explained that the American Academy of Pediatrics now recommends continued breastfeeding until 2 years or as long as the mother and the baby desire it. It is important to remember some contraindications such as babies with galactosemia, mothers who are using illicit drugs, and some maternal infections such as HIV, untreated brucellosis, and Ebola virus. This week we thank Hector Arreaza, Aruna Sridharan, and Lia Khachikyan. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________Dror, D. K., & Allen, L. H. (2018, May 29). Overview of Nutrients in Human Milk. PubMed Central (PMC). https://doi.org/10.1093/advances/nmy022.Meek, J. Y., Noble, L., & Breastfeeding, S. O. (2022, July 1). Policy Statement: Breastfeeding and the Use of Human Milk. American Academy of Pediatrics. https://doi.org/10.1542/peds.2022-057988.“Maternal Diet.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 17 May 2022, https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/diet-and-micronutrients/maternal-diet.html.Breastfeeding FAQs. Centers for Disease Control and Prevention. https://www.cdc.gov/breastfeeding/faq/index.htm. Accessed February 21, 2023. Butte, Nancy F., and Alison Stuebe. Maternal nutrition during lactation. UpToDate, July 13, 2022. https://www.uptodate.com/contents/maternal-nutrition-during-lactation. Accessed March 6, 2023. Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

the Director of Medical Education. He currently holds a faculty appointment as a Clinical Professor, Volunteer Faculty in the Department of Pediatrics at Florida International University College of Medicine. Prior to joining Nicklaus Children's Hospital, Dr. Gereige served as a Professor of Pediatrics at the University of South Florida (USF) College of Medicine and the Course Director for the Evidence-Based Clinical Practice Course at the USF College of Medicine for the second year medical students.Dr. Gereige received his medical degree from the American University of Beirut in Lebanon. He subsequently completed a Pediatric residency at the University of South Florida (USF)/ All Children's Hospital followed by one year as Chief Resident. He then completed a Masters's Degree in Public Health in Maternal and Child Health at USF. In February 2010, he graduated from the USF Leadership Institute.At the national level, Dr. Gereige completed a six-year term as a member of the national AAP executive committee of the Council on School Health where he served as the newsletter and website co-editor. Currently, he is a member of the Executive Committee of the AAP Oral Health Initiative and the Executive Committee of the Section on Oral Health where he is the 2012 NCE Program Chair. In addition to being a fellow of the American Academy of Pediatrics (AAP), he is a member of the Academic Pediatric Association (APA), the American Public Health Association (APHA), and the Association of Pediatric Program Directors (APPD). He is a member of the Editorial Board of Pediatrics in Reviews and served as a manuscript reviewer for several peer-reviewed journals. In addition, he serves as a Faculty Advisor for the APA Educational Scholars Program. Dr. Gereige served on the NBME USMLE Step 2 test writing committee for the Pediatric test questions for 4 years (2007-2011) and has been serving on the USMLE Step 2 Interdisciplinary Review Committee (IRC) since 2012. He is currently a member of the AAP National Conference and Exhibition (NCE) Planning Group. In January 2015, Dr. Gereige was appointed to serve as a member of the Pediatric Residency Review Committee (RRC) of the Accreditation Council of Graduate Medical Education (ACGME).Dr. Gereige has numerous publications in peer-reviewed journals. He is certified by the American Board of Pediatrics. In addition to Medical Education, his interests include School Health, primary care Sports Medicine, Public Health, Evidence-Based Medicine, Oral Health, and Children with Special Health Care Needs and Sports.Lisa McLaren RN is from Roanoke VA and has two wonderful children Eric and Lauren, and her husband John. She worked with a peds legend Dr. Cioletti and was VP of Operations for Pediatrics@Nite before joining Manassas City School System.  Please subscribe to our podcast on apple or amazon and give us a great review. You can make suggestions for guests and topics on our website below. Thanks for listening. Follow us on social media YouTube, Instagram, WebPage The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between. The conversations are not intended as medical advice and the opinions expressed are solely those of the host and guest.

In this episode of What's Up Wednesday, obesity specialist and host, Karli Burridge, reviews the brand-new, first-ever Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity released by the American Academy of Pediatrics (AAP).FROM THE AMERICAN ACADEMY OF PEDIATRICS| CLINICAL PRACTICE GUIDELINE| JANUARY 09 2023Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity  by Sarah E. Hampl, MD, FAAP et alExecutive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With ObesityObesity-focused Organizations Issue Statement in Support of New AAP Clinical Guideline on Childhood ObesitySupport the showThe Gaining Health Podcast will release a new episode monthly, every second Wednesday of the month. Episodes including interviews with obesity experts as well as scientific updates and new guidelines for the management of obesity.If you're a clinician or organization looking to start or optimize an obesity management program, and you want additional support and resources, check out the Gaining Health website! We offer monthly and annual Memberships, which include live group coaching, a community forum to ask questions and post resources, pre-recorded Master Classes, digital resources inlcuding patient education materials and office forms, and much more! We also sell our popular Gaining Health products, including a book on developing an obesity management program, editable forms and templates, and patient education materials in our Gaining Health Shop! If you are loving this podcast, please consider supporting us on Patreon

In this episode of Curbside Consults, we examine the 2022 revision of the clinical practice guideline on the management of hyperbilirubinemia in the newborn infant by the American Academy of Pediatrics (AAP). We are joined by two authors of the revised guideline: Dr. Alex R. Kemper, the Division Chief of Primary Care Pediatrics at Nationwide Children's Hospital and Professor of Pediatrics at The Ohio State University College of Medicine; and Dr. Thomas Newman, Professor Emeritus of Epidemiology & Biostatistics and Pediatrics at UCSF.

https://302.buzz/PM-WhatAreYourThoughtsAs Dr. Gaggino looks back on her episodes over the past year, she gives out kudos to some of the standout guests of 2022. She also has some reminders of past episodes that you may have missed or may even be worth another listen, (just scroll down to get those links) and there's a sneak peek at some of the exciting things to come in 2023. If you haven't already, make sure to tap on that follow button and to ensure that you'll never miss an episode, get that automatic download every Wednesday morning. Dr. Gaggino has been working hard to get some fantastic shows lined up for you. 2023 going to be an AMAZING YEAR… [00:33 -2:11] Children's Mental Health and DepressionChildren are struggling with mental health issues, and it is our responsibility as adults to support themBuilding strong relationships and creating a sense of belonging can be healing for children and families It is important to educate ourselves and seek out help from professionals when needed[2:12- 3:04] Medications for Mental Health in ChildrenDr. Jeffrey Strong's episode 44 discusses the use of SSRIs for children's mental healthIt is important to feel comfortable with a few medications and seek guidance from a child psychiatrist if neededThe National Network of Child Psychiatry Access Programs (NNCPAP) can provide resources and support[3:05 -3:26] Assessing Social Determinants of HealthDr. Kofi Essel's episode 74 discusses the impact of food insecurity on children's mental healthAsking about food insecurity and advocating for resources can be a simple yet effective interventionOther social determinants, such as housing and access to healthcare, can also impact children's mental health[3:27-4:48] Psychoeducation for Children's Mental Health and Supporting our own wellbeingDr. Colleen Cullinan's episodes (such as episode 26 on anxiety and episode 71 on depression) provide valuable information on psychoeducation for childrenDr. Cullinan's four-part series on executive function and ADHD (episodes 88, 109, 119, and 120) is also helpful for understanding and supporting children with these conditionsDr. Kimia Saff's episode 108 and Dr. Miko Rosen's episode 69 offer ideas for maintaining our own well-being as pediatric cliniciansIt is important to take care of ourselves so that we can better support the children and families we work with[4:49 - 10:57] Connecting with Others in the FieldThe American Academy of Pediatrics (AAP) and state AAP chapters provide opportunities for connection and support with other pediatric cliniciansThe AAP's policy statements, clinical and technical reports, and continuing education offerings are valuable resources for staying up to date on best practices in pediatric careJoining a local or national pediatric group can be a great way to connect with others and find support in the field.Links to resources mentioned on the showDr. Lia Gaggino's Website https://www.medicalbhs.com/ NNCPAP.org : ...

The Rich Zeoli Show- Hour 2:  Michael Torres—Deputy Editor of RealClearPennsylvania—joins The Rich Zeoli Show to discuss his latest article, “PA GOP Leaders Point to Trump for Midterm Losses.” Torres spoke with multiple Republican officials throughout Pennsylvania following last week's midterm elections—many suggested that former President Donald Trump's fixation on the 2020 election led him to endorsing flawed Republican primary candidates that were unable to win general elections. The Rich Zeoli Show has an abbreviated Friday broadcast due to sports. Rich has developed a reputation for not working on Fridays—but, by the end of November, Matt will have avoided working a full Friday for the entirety of the month! Rich shames him. According to The Post Millennial, guidance from the American Academy of Pediatrics (AAP) suggests that irreversible “gender affirming” procedures on children under 18 are acceptable—though, tattooing a child is an offense that is punishable by law. 

The Rich Zeoli Show- Full Show (11/16/2022): 3:05pm- The Pennsylvania House of Representatives has voted to impeach Philadelphia District Attorney Larry Krasner—the vote was 107 to 85. According to the Philadelphia Inquirer, it's the first time in “nearly 30 years” the PA legislature has voted to remove an official from public office.  3:10pm- Sen. Mitch McConnell (R-KY) was re-elected to serve as Senate Minority Leader despite Sen. Rick Scott's (R-FL) expressed interest in the position. The internal Republican vote was 37 to 10, according to the New York Times.  3:25pm- Is Michelle Obama planning a run for the presidency? 3:40pm- On Tuesday night, Donald Trump announced his intention to run for president in 2024—surprisingly, many television networks declined to carry coverage of the event. The announcement is unlikely to clear the Republican field and candidates like Gov. Ron DeSantis, former Vice President Mike Pence, and former Secretary of State Mike Pompeo are all still expected to challenge Trump for the Republican nomination.  3:45pm- During his 60-minute speech announcing his run for president, former President Donald Trump condemned the Biden Administration for being more worried about climate change than a potential escalation of war between Ukraine-Russia that could lead to the use of nuclear weapons.  4:05pm- Michael Torres—Deputy Editor of RealClearPennsylvania—joins The Rich Zeoli Show to discuss his latest article, “PA GOP Leaders Point to Trump for Midterm Losses.” Torres spoke with multiple Republican officials throughout Pennsylvania following last week's midterm elections—many suggested that former President Donald Trump's fixation on the 2020 election led him to endorsing flawed Republican primary candidates that were unable to win general elections.  4:25pm- The Rich Zeoli Show has an abbreviated Friday broadcast due to sports. Rich has developed a reputation for not working on Fridays—but, by the end of November, Matt will have avoided working a full Friday for the entirety of the month! Rich shames him.  4:45pm- According to The Post Millennial, guidance from the American Academy of Pediatrics (AAP) suggests that irreversible “gender affirming” procedures on children under 18 are acceptable—though, tattooing a child is an offense that is punishable by law.  5:05pm- In response to verbal barbs being hurled by Donald Trump, Florida Governor Ron DeSantis implored fellow Republicans to “chill out” and work together to ensure Hershel Walker (R) defeats incumbent Senator Raphael Warnock (D) in their U.S. Senate race in Georgia on December 6th.  5:15pm- Virtually reality expert and Oculus Founder Palmer Luckey has designed a new video game with the potential to kill its users.  5:30pm- State Representative Martina White joins The Rich Zeoli Show to discuss the Pennsylvania House of Representatives successfully voting to impeach Philadelphia District Attorney Larry Krasner. The Articles of Impeachment will now be brought to the Pennsylvania State Senate. Krasner has denied that his prosecutorial strategies have resulted in unmitigated violence throughout Philadelphia—but, as White suggests, statistics and the personal experiences of Philadelphians contrast with his denial. Will Krasner's impeachment serve as a warning to other soft-on-crime, progressive district attorneys across the country?  6:05pm- While speaking with Congressman Chip Roy (R-TX) at a Congressional hearing, Stanford Professor Dr. Jay Bhattacharya described medical censorship during the COVID-19 pandemic as a “disaster” and suggested that it may have led to people being killed. Dr. Bhattacharya also noted that one of the primary sources of “misinformation” has been the federal government.  6:15pm- While speaking with Piers Morgan, Dr. Jordan Peterson condemned social media trolls for “polluting” the public discourse—suggesting that anonymous posters should be given their own section of platforms like Twitter, allowing for “real human beings” to have civilized discussions with one another.  6:35pm- Michael Donohue—former New Jersey Superior Court Judge & the Attorney representing Cape May County—joins The Rich Zeoli Show to discuss enormous ocean windmill farms, consisting of hundreds of windmills, that may soon be built off the coast of New Jersey. Donahue notes that anyone who has objected to these farms is being labeled as “climate change deniers”—which just isn't true. In fact, the environmental impact of windmill farms this large is still largely unknown. And why haven't Cape May County voters been allowed to weigh-in on such an enormously consequential project?  6:55pm- Who Won Social Media? 

LISTEN Show Notes: ​In his From the Heart segment, Dr. Paul talks about love and compassion and what can we do when someone is hurting. In a world filled with suffering of all kinds, we have an opportunity to simply be present for those who are in need. While our presence can take many forms, what matters most is that we are showing up. This week, Dr. Paul interviews specialist in pediatrics, past president of the American Academy of Pediatrics (AAP) and the American Colleg [...]

Recently, the American Academy of Pediatrics (AAP) has revised clinical guidelines on Hyperbilirubinemia and how to treat infants born at least 35. Although it is common for many newborn infants to experience Jaundice, it is important for physicians and primary care providers to understand and monitor newborn babies to ensure they don't develop Hyperbilirubinemia.  In this episode, we are going to discuss what primary care providers should know about these new guidelines and how they are different then the previous guidelines. Today I am happy to be speaking with Dr. Christine Gold.